Dodge, Robert Thomas
Dodge, Robert Thomas is an sole proprietor health care provider with primary practice located at 10 Sunnybrook Rd Clinic A, Raleigh NC 27610-1808. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as his primary health care specialty. Dodge, Robert Thomas can be contacted via phone (919) 250-3078.Contact Information
Primary practice address
10 Sunnybrook Rd Clinic A
Raleigh NC 27610-1808
Phone: (919) 250-3078
Fax: (919) 250-4429
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 900106 | North Carolina |
Profile Details
NPI number | 1295721710 |
---|---|
LBN Legal business name | Dodge, Robert Thomas |
Credentials | PHD, RN, ANP |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Sep 20th, 2005 |
Last updated | Jun 30th, 2010 - about 15 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 | 1295721710 | NPPES |
North Carolina | MEDICAID | 7000428 |
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