Provider Demographics
NPI:1710782057
Name:COXBILL, RICHARD ALAN
Entity type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:ALAN
Last Name:COXBILL
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1201 AVENUE N
Mailing Address - Street 2:
Mailing Address - City:SCOTTSBLUFF
Mailing Address - State:NE
Mailing Address - Zip Code:69361-3462
Mailing Address - Country:US
Mailing Address - Phone:308-631-9049
Mailing Address - Fax:
Practice Address - Street 1:1201 AVENUE N
Practice Address - Street 2:
Practice Address - City:SCOTTSBLUFF
Practice Address - State:NE
Practice Address - Zip Code:69361-3462
Practice Address - Country:US
Practice Address - Phone:308-631-9049
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-19
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes373H00000XNursing Service Related ProvidersDay Training/Habilitation Specialist
No372600000XNursing Service Related ProvidersAdult CompanionGroup - Single Specialty