Austin, Robert J
Austin, Robert J is an individual health care provider with primary practice located at 615 N Michigan St , South Bend IN 46601-1033. He recently has only one registered license in Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, which is considered as his primary health care specialty. Austin, Robert J can be contacted via phone (574) 647-1650.Contact Information
Primary practice address
615 N Michigan St
South Bend IN 46601-1033
Phone: (574) 647-1650
Fax: (574) 647-1655
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine | 207VM0101X | 20122 | Wisconsin |
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine | 207VM0101X | 01053969A | Indiana |
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine | 207VM0101X | 4301033245 | Michigan |
Profile Details
NPI number | 1083677439 |
---|---|
LBN Legal business name | Austin, Robert J |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 7th, 2006 |
Last updated | Jul 6th, 2022 - about 2 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 | 1083677439 | NPPES |
Michigan | MEDICAID | 4656419 | |
Michigan | MEDICAID | 6062403 | |
Michigan | Other | 1604114351 | |
Michigan | Other | 1558407189 |
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