Proffitt, Robert S.

Proffitt, Robert S. is an individual health care provider with primary practice located at 711 N Custer Ave , Grand Island NE 68803-4311. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Proffitt, Robert S. can be contacted via phone (308) 382-1781.

Contact Information

Primary practice address
711 N Custer Ave Grand Island NE 68803-4311
Phone: (308) 382-1781
Fax: (308) 382-1474
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 12878 Nebraska

Profile Details

NPI number 1972506871
LBN Legal business name Proffitt, Robert S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated May 12th, 2010 - about 14 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1972506871 NPPES
Nebraska Other 12878 LICENSE
Nebraska MEDICAID 10-025813800 LICENSE
Nebraska Other 180038420 LICENSE

Popular Providers