Eaton, Robert W

Eaton, Robert W is an sole proprietor health care provider with primary practice located at 5004 Highway 69 N , Northport AL 35473-2039. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Eaton, Robert W can be contacted via phone (205) 339-2499.

Contact Information

Primary practice address
5004 Highway 69 N Northport AL 35473-2039
Fax: (205) 339-6422
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X D0441 Alabama

Profile Details

NPI number 1073513479
LBN Legal business name Eaton, Robert W
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 28th, 2005
Last updated Apr 6th, 2012 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073513479 NPPES
Alabama Other 51515058 BLUE CROSS BLUE SHIELD

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