Board, Robert Jeffrey

Board, Robert Jeffrey is an individual health care provider with primary practice located at 3320 Executive Dr Suite 111, Raleigh NC 27609-7445. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Board, Robert Jeffrey can be contacted via phone (919) 876-2427.

Contact Information

Primary practice address
3320 Executive Dr Suite 111 Raleigh NC 27609-7445
Phone: (919) 876-2427
Fax: (919) 790-8423
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 23007 North Carolina

Profile Details

NPI number 1285684951
LBN Legal business name Board, Robert Jeffrey
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2006
Last updated Apr 14th, 2021 - 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 1285684951 NPPES
North Carolina MEDICAID 89-16392

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