Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BOBBY SELF
ActiveBOBBY SELF is a Driver healthcare provider located in BOONVILLE, Missouri. NPI 1568238343 is currently active in the NPPES registry. Verify at CMS.
Driver · BOONVILLE, MO
Registration Details
- NPI Number
- 1568238343
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 1, 2023 (2.5126446681071 yrs)
- Last Updated
- Dec 1, 2023
- License
-
D135089004 (MO)
Practice Information
- Address
-
1728 JESSE JAMES CTBOONVILLE, MO, 652332874Browse MO providers · Browse ZIP 65233
- Phone
- 5735407160
- Primary Specialty
-
Driver
172A00000X
Other Driver Providers in BOONVILLE, MO
| Name | Credential | NPI |
|---|---|---|
| CHANCE MERTGEN | — | 1073389847 |
| JORDAN MERTGEN | MHA, MLS(ASCP)CM | 1285400051 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.