Patty, John R
Patty, John R is an sole proprietor health care provider with primary practice located at 2210 Barron Rd , Poplar Bluff MO 63901-1908. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Patty, John R can be contacted via phone (573) 686-4133.Contact Information
Primary practice address
2210 Barron Rd
Poplar Bluff MO 63901-1908
Phone: (573) 686-4133
Fax: (573) 686-1315
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 36852 | Missouri |
Profile Details
| NPI number | 1326094566 |
|---|---|
| LBN Legal business name | Patty, John R |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 26th, 2006 |
| Last updated | Feb 9th, 2021 - about 4 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 | 1326094566 | NPPES |
| Missouri | MEDICAID | 243029600 |
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