Wankum, Robert P.

Wankum, Robert P. is an individual health care provider with primary practice located at 1241 W Stadium Blvd , Jefferson City MO 65109-6023. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Wankum, Robert P. can be contacted via phone (573) 556-7709.

Contact Information

Primary practice address
1241 W Stadium Blvd Jefferson City MO 65109-6023
Phone: (573) 556-7709
Fax: (573) 556-1709
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 35113 Missouri

Profile Details

NPI number 1225013121
LBN Legal business name Wankum, Robert P.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2005
Last updated Aug 7th, 2008 - about 17 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 1225013121 NPPES
Missouri Other 0178712 HEALTHLINK
Missouri Other 826183199 HEALTHLINK
Missouri Other CP9089 HEALTHLINK
Missouri Other 12562 HEALTHLINK
Missouri MEDICAID 200090900 HEALTHLINK
Missouri Other 5539 HEALTHLINK

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