Healthcare Provider Details

I. General information

NPI: 1881732881
Provider Name (Legal Business Name): RICHARD JOSEPH BOBAY ARNP-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/02/2007
Last Update Date: 03/22/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1701 SPRING ST SUITE B
JEFFERSONVILLE IN
47130-2930
US

IV. Provider business mailing address

PO BOX 2213
CLARKSVILLE IN
47131-2213
US

V. Phone/Fax

Practice location:
  • Phone: 812-284-2273
  • Fax: 812-284-2279
Mailing address:
  • Phone: 812-284-2273
  • Fax: 812-284-2279

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number3005827
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number71002305A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: