EBO MD OF POPLAR BLUFF LLC – NPI #1770152035
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Health Care Provider Taxonomy Code for Family Medicine

EBO MD OF POPLAR BLUFF LLC is a provider located in POPLAR BLUFF, MO. NPPES has assigned the NPI number 1770152035 to EBO MD OF POPLAR BLUFF LLC on June 22, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 5 years ago on Jul 26, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EBO MD OF POPLAR BLUFF LLC below.

NPI Profile for
EBO MD OF POPLAR BLUFF LLC

NPI Number
1770152035
Enumeration Date

(about 5 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
EBO MD OF POPLAR BLUFF LLC
Primary location
2725 N WESTWOOD BLVD
POPLAR BLUFF, MO 63901-2346
Phone: (573) 686-5510 Fax:
Mailing address
2725 N WESTWOOD BLVD STE 14
POPLAR BLUFF, MO 63901-2367
Phone: (573) 686-5510 Fax:
Organization Subpart
No
Authorized Official
PHILIP CROCKER
CFO
Phone: (573) 686-5510
Updated
Certification Date
Jul 01, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.