Blubaugh, Richard Marvin
Blubaugh, Richard Marvin is an sole proprietor health care provider with primary practice located at 1102 West 32Nd Street , Joplin MO 64804. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Blubaugh, Richard Marvin can be contacted via phone (417) 347-1111.Contact Information
Primary practice address
1102 West 32Nd Street
Joplin MO 64804
Phone: (417) 347-1111
Fax: (417) 347-2149
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 2003011617 | Missouri |
Profile Details
| NPI number | 1083654099 |
|---|---|
| LBN Legal business name | Blubaugh, Richard Marvin |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 7th, 2006 |
| Last updated | Mar 2nd, 2017 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083654099 | NPPES |
| Oklahoma | Other | 10028900A | MEDICAID |
| Oklahoma | Other | 2046421021 | MEDICAID |
| Oklahoma | MEDICAID | 243419306 | MEDICAID |
| Oklahoma | Other | 906020147 | MEDICAID |
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