Augustine, Robert P.
Augustine, Robert P. is an individual health care provider with primary practice located at 210 E Derenne Ave Attn: Provider Enrollment, Savannah GA 31405-6736. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as his primary health care specialty. Augustine, Robert P. can be contacted via phone (912) 644-5300.Contact Information
Primary practice address
210 E Derenne Ave Attn: Provider Enrollment
Savannah GA 31405-6736
Phone: (912) 644-5300
Fax: (912) 644-5260
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | OT004313 | Georgia |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | OT14437 | California |
Profile Details
| NPI number | 1144270513 |
|---|---|
| LBN Legal business name | Augustine, Robert P. |
| Credentials | Occupational Therapist (OT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 10th, 2006 |
| Last updated | Oct 21st, 2015 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144270513 | NPPES |
| Georgia | MEDICAID | 101362237A |
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