Rumbaoa, Philip L
Rumbaoa, Philip L is an individual health care provider with primary practice located at 1241 W Stadium Blvd , Jefferson City MO 65109-6023. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Phlebology, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Phlebology is his primary health care specialty. Rumbaoa, Philip L can be contacted via phone (573) 635-5264.Contact Information
Primary practice address
1241 W Stadium Blvd
Jefferson City MO 65109-6023
Phone: (573) 635-5264
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Phlebology | 202K00000X | 036115065 | Illinois |
| Allopathic & Osteopathic Physicians / Phlebology | 202K00000X | 0426821 | Kansas |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036115065 | Illinois |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 0426821 | Kansas |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 2000163033 | Missouri |
| Allopathic & Osteopathic Physicians / Phlebology | 202K00000X | 2000163033 | Missouri |
Profile Details
| NPI number | 1083686661 |
|---|---|
| LBN Legal business name | Rumbaoa, Philip L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 7th, 2006 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083686661 | NPPES |
| Missouri | Other | 25213101 | BLUE CROSS BLUE SHIELD OF KANSAS CITY |
| Missouri | Other | 25213121 | BLUE CROSS BLUE SHIELD OF KANSAS CITY |
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