Cavagnol, Robert M

Cavagnol, Robert M is an individual health care provider with primary practice located at 1965 S Fremont Ave Suite 100, Springfield MO 65804-2201. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Cavagnol, Robert M can be contacted via phone (417) 820-3800.

Contact Information

Primary practice address
1965 S Fremont Ave Suite 100 Springfield MO 65804-2201
Fax: (417) 820-3810
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 35086247 Ohio
Allopathic & Osteopathic Physicians / Surgery 208600000X 2007026645 Missouri

Profile Details

NPI number 1043273188
LBN Legal business name Cavagnol, Robert M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2006
Last updated Jul 13th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043273188 NPPES
Arkansas MEDICAID 168867001
Arkansas Other 431560263
Arkansas Other P00709670
Arkansas MEDICAID 1043273188

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