Ebo Md Of Poplar Bluff Llc

LBN: Ebo Md Of Poplar Bluff Llc
Ebo Md Of Poplar Bluff Llc is an health care organization with primary practice located at 2725 N Westwood Blvd , Poplar Bluff MO 63901-2346. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Ebo Md Of Poplar Bluff Llc can be contacted via phone (573) 686-5510, or through Crocker, Philip James via phone (573) 686-5510.

Contact Information

Primary practice address
2725 N Westwood Blvd Poplar Bluff MO 63901-2346
Phone: (573) 686-5510
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Crocker, Philip James
Phone: (573) 686-5510

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1770152035
LBN Legal business name Ebo Md Of Poplar Bluff Llc
DBA Doing business as
Authorized official Crocker, Philip James
Entity Organization
Organization subpart 1 No
Enumeration date Jun 22nd, 2021
Last updated Jul 26th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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