Moffitt, Robin D

Moffitt, Robin D is an individual health care provider with primary practice located at 1717 E Chicago Rd Suite 2, Sturgis MI 49091-8524. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Allopathic & Osteopathic Physicians / Emergency Medicine. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Moffitt, Robin D can be contacted via phone (269) 651-4744.

Contact Information

Primary practice address
1717 E Chicago Rd Suite 2 Sturgis MI 49091-8524
Phone: (269) 651-4744
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 4704246809 Michigan
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 4704246809 Michigan

Profile Details

NPI number 1790016301
LBN Legal business name Moffitt, Robin D
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 21st, 2010
Last updated Jan 28th, 2011 - 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 1790016301 NPPES
Michigan MEDICAID 1790016301

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