Emmons, Robert Van Buren

Emmons, Robert Van Buren is an individual health care provider with primary practice located at 529 S Jackson St , Louisville KY 40202-3229. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology, which is considered as his primary health care specialty. Emmons, Robert Van Buren can be contacted via phone (502) 562-4363.

Contact Information

Primary practice address
529 S Jackson St Louisville KY 40202-3229
Phone: (502) 562-4363
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology 207RH0000X MD.205855 Louisiana
Allopathic & Osteopathic Physicians / Hematology 207RH0000X MD 422827 Pennsylvania
Allopathic & Osteopathic Physicians / Hematology 207RH0000X 50871 Kentucky

Profile Details

NPI number 1407844574
LBN Legal business name Emmons, Robert Van Buren
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2005
Last updated Oct 11th, 2018 - about 8 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 1407844574 NPPES
Mississippi MEDICAID 08003322
Mississippi MEDICAID 2319086
Mississippi MEDICAID 1008228280001
Mississippi MEDICAID 7100514360
Mississippi MEDICAID 300011546

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