Maroon, Robert J

Maroon, Robert J is an individual health care provider with primary practice located at 951 W 21St St , Norfolk VA 23517-1534. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Maroon, Robert J can be contacted via phone (757) 623-0867.

Contact Information

Primary practice address
951 W 21St St Norfolk VA 23517-1534
Phone: (757) 623-0867
Fax: (757) 627-2923
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 2305003099 Virginia

Profile Details

NPI number 1386627339
LBN Legal business name Maroon, Robert J
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 23rd, 2005
Last updated Oct 22nd, 2010 - about 14 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 1386627339 NPPES
Virginia MEDICAID 010371465
Virginia MEDICAID 010371538
Virginia MEDICAID 010371571
Virginia MEDICAID 010371503
Virginia MEDICAID 010371414
Virginia MEDICAID 008938857
Virginia MEDICAID 1386627339

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