Muterspaugh, Robert Jay

Muterspaugh, Robert Jay is an sole proprietor health care provider with primary practice located at 802 18Th St E , Tifton GA 31794-3661. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Muterspaugh, Robert Jay can be contacted via phone (229) 386-9333.

Contact Information

Primary practice address
802 18Th St E Tifton GA 31794-3661
Phone: (229) 386-9333
Fax: (229) 386-1666
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 003261 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 003261 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 003261 Georgia

Profile Details

NPI number 1124020425
LBN Legal business name Muterspaugh, Robert Jay
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 1st, 2005
Last updated Mar 12th, 2015 - about 11 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 1124020425 NPPES
Georgia MEDICAID 100002323A

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