Nettune, Robert Joseph

Nettune, Robert Joseph is an sole proprietor health care provider with primary practice located at 5773 Impala South Road , Athens TX 75752-6053. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Nettune, Robert Joseph can be contacted via phone (903) 681-4840.

Contact Information

Primary practice address
5773 Impala South Road Athens TX 75752-6053
Phone: (903) 681-4840
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X F8591 Texas

Profile Details

NPI number 1154392082
LBN Legal business name Nettune, Robert Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 30th, 2006
Last updated Oct 20th, 2022 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154392082 NPPES
Other 88E866 BLUE CROSS BLUE SHIELD
MEDICAID 082217301 BLUE CROSS BLUE SHIELD
Other 2217840 BLUE CROSS BLUE SHIELD
Other 0456290 BLUE CROSS BLUE SHIELD
Other 4412054 BLUE CROSS BLUE SHIELD

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