Raulerson, Robert Mackinnon
Raulerson, Robert Mackinnon is an individual health care provider with primary practice located at 920 Oliver Rd , Monroe LA 71201-5702. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Raulerson, Robert Mackinnon can be contacted via phone (318) 807-4951.Contact Information
Primary practice address
920 Oliver Rd
Monroe LA 71201-5702
Phone: (318) 807-4951
Fax: (318) 812-0808
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 018874 | Louisiana |
Profile Details
| NPI number | 1720021363 |
|---|---|
| LBN Legal business name | Raulerson, Robert Mackinnon |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 13th, 2006 |
| Last updated | Jan 8th, 2024 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720021363 | NPPES |
| Louisiana | MEDICAID | 1374580 |
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