Rivas, Carlos A

Rivas, Carlos A is an sole proprietor health care provider with primary practice located at 3065 William St Suite 209, Cape Girardeau MO 63703-6393. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Rivas, Carlos A can be contacted via phone (573) 335-4100.

Contact Information

Primary practice address
3065 William St Suite 209 Cape Girardeau MO 63703-6393
Fax: (573) 339-7887
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X R4668 Arkansas
Allopathic & Osteopathic Physicians / General Practice 208D00000X 2010011993 Missouri

Profile Details

NPI number 1942261052
LBN Legal business name Rivas, Carlos A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 29th, 2006
Last updated Oct 7th, 2020 - about 5 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 1942261052 NPPES
Missouri MEDICAID 1942261052

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