Eubanks, Robert Ira

Eubanks, Robert Ira is an individual health care provider with primary practice located at 1523 22Nd Ave Ste B , Meridian MS 39301-4016. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Eubanks, Robert Ira can be contacted via phone (601) 703-8370.

Contact Information

Primary practice address
1523 22Nd Ave Ste B Meridian MS 39301-4016
Phone: (601) 703-8370
Fax: (601) 703-8397
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 21491 Mississippi

Profile Details

NPI number 1356504872
LBN Legal business name Eubanks, Robert Ira
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2008
Last updated Mar 17th, 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 1356504872 NPPES
Alabama MEDICAID 155370
Alabama MEDICAID 04451254

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