Drake, Robert L

Drake, Robert L is an individual health care provider with primary practice located at 1008 Minnequa Ave Centura Health St Mary Corwin Medic, Pueblo CO 81004-3733. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Drake, Robert L can be contacted via phone (719) 557-4766.

Contact Information

Primary practice address
1008 Minnequa Ave Centura Health St Mary Corwin Medic Pueblo CO 81004-3733
Phone: (719) 557-4766
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 23912 Colorado

Profile Details

NPI number 1700066735
LBN Legal business name Drake, Robert L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2007
Last updated Nov 23rd, 2016 - about 10 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 1700066735 NPPES
Colorado MEDICAID 01239128

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