Carrillo, Robert V

Carrillo, Robert V is an individual health care provider with primary practice located at 401 Woodland Hills Blvd , Fort Scott KS 66701-8797. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Carrillo, Robert V can be contacted via phone (620) 223-2200.

Contact Information

Primary practice address
401 Woodland Hills Blvd Fort Scott KS 66701-8797
Phone: (620) 223-2200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 54133 Kansas

Profile Details

NPI number 1508879305
LBN Legal business name Carrillo, Robert V
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2006
Last updated Jul 9th, 2007 - about 19 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 1508879305 NPPES
Kansas Other 145207 BLUE CROSS, PC

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