Elworth, Robert L.

Elworth, Robert L. is an individual health care provider with primary practice located at 1423 N Jefferson Ave , Springfield MO 65802-1917. He recently has only one registered license in Allopathic & Osteopathic Physicians / Addiction Medicine, which is considered as his primary health care specialty. Elworth, Robert L. can be contacted via phone (417) 269-2273.

Contact Information

Primary practice address
1423 N Jefferson Ave Springfield MO 65802-1917
Phone: (417) 269-2273
Fax: (417) 269-8851
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X R4D87 Missouri

Profile Details

NPI number 1134239056
LBN Legal business name Elworth, Robert L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Feb 7th, 2019 - about 5 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 1134239056 NPPES
Other 100276 BLUE
MEDICAID 202079133 BLUE

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