Perry, Robert Elvie

Perry, Robert Elvie is an individual health care provider with primary practice located at 1701 Lacey St , Cape Girardeau MO 63701-5230. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Perry, Robert Elvie can be contacted via phone (573) 331-6353.

Contact Information

Primary practice address
1701 Lacey St Cape Girardeau MO 63701-5230
Fax: (573) 331-6378
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X R3H52 Missouri

Profile Details

NPI number 1659376234
LBN Legal business name Perry, Robert Elvie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2005
Last updated Mar 9th, 2015 - about 10 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 1659376234 NPPES
Missouri MEDICAID 202468104

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