Marroquin, Rafael
Marroquin, Rafael is an individual health care provider with primary practice located at 1600 E Broadway , Columbia MO 65201-5844. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Marroquin, Rafael can be contacted via phone (573) 815-3221.Contact Information
Primary practice address
1600 E Broadway
Columbia MO 65201-5844
Phone: (573) 815-3221
Fax: (573) 815-6343
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 2012020291 | Missouri |
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 2012020291 | Missouri |
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 2012020291 | Missouri |
Profile Details
NPI number | 1740419431 |
---|---|
LBN Legal business name | Marroquin, Rafael |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 2nd, 2009 |
Last updated | Nov 14th, 2023 - about 2 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 | 1740419431 | NPPES |
Missouri | MEDICAID | 204255608 |
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