Coger, Brenton Raval
Coger, Brenton Raval is an sole proprietor health care provider with primary practice located at 1229 E Seminole St Suite 220, Springfield MO 65804-2227. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Coger, Brenton Raval can be contacted via phone (417) 820-5150.Contact Information
Primary practice address
1229 E Seminole St Suite 220
Springfield MO 65804-2227
Phone: (417) 820-5150
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | 2009027848 | Missouri |
Profile Details
| NPI number | 1427107283 |
|---|---|
| LBN Legal business name | Coger, Brenton Raval |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 10th, 2007 |
| Last updated | Nov 1st, 2019 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427107283 | NPPES |
| Missouri | MEDICAID | 1427107283 |
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