Provider Demographics
NPI:1881732881
Name:BOBAY, RICHARD JOSEPH (ARNP-C)
Entity type:Individual
Prefix:
First Name:RICHARD
Middle Name:JOSEPH
Last Name:BOBAY
Suffix:
Gender:M
Credentials:ARNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2213
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47131-2213
Mailing Address - Country:US
Mailing Address - Phone:812-284-2273
Mailing Address - Fax:812-284-2279
Practice Address - Street 1:1701 SPRING ST
Practice Address - Street 2:SUITE B
Practice Address - City:JEFFERSONVILLE
Practice Address - State:IN
Practice Address - Zip Code:47130-2930
Practice Address - Country:US
Practice Address - Phone:812-284-2273
Practice Address - Fax:812-284-2279
Is Sole Proprietor?:No
Enumeration Date:2007-02-02
Last Update Date:2019-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3005827363LF0000X
IN71002305A363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200940810Medicaid
KY000000593773OtherBCBS
KY0928409Medicare PIN
IN264050AMedicare PIN
IN200940810Medicaid