Varghese, Ebby George

Varghese, Ebby George is an individual health care provider with primary practice located at 3211 S Providence Rd Bldg. C, Columbia MO 65203-3644. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Varghese, Ebby George can be contacted via phone (573) 884-7100.

Contact Information

Primary practice address
3211 S Providence Rd Bldg. C Columbia MO 65203-3644
Phone: (573) 884-7100
Fax: (573) 884-7706
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X 2005021816 Missouri

Profile Details

NPI number 1639200942
LBN Legal business name Varghese, Ebby George
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2007
Last updated Sep 12th, 2022 - about 3 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 1639200942 NPPES
Missouri MEDICAID 204463202

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