Probert, Richard Cleavelin

Probert, Richard Cleavelin is an individual health care provider with primary practice located at 25 W Division St Suite 400 West, Evansville IN 47710-1374. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Probert, Richard Cleavelin can be contacted via phone (812) 436-4501.

Contact Information

Primary practice address
25 W Division St Suite 400 West Evansville IN 47710-1374
Fax: (812) 436-4510
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 01036002 Indiana

Profile Details

NPI number 1144282377
LBN Legal business name Probert, Richard Cleavelin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2006
Last updated Jan 6th, 2021 - about 3 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 1144282377 NPPES
Indiana MEDICAID 100248000A
Indiana Other 000000806881
Indiana Other 200079040D

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