Ortiz, Robert Michael

Ortiz, Robert Michael is an individual health care provider with primary practice located at 1118 Ross Clark Cir Ste 303 , Dothan AL 36301-3002. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Ortiz, Robert Michael can be contacted via phone (334) 794-3192.

Contact Information

Primary practice address
1118 Ross Clark Cir Ste 303 Dothan AL 36301-3002
Phone: (334) 794-3192
Fax: (877) 553-0033
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 1-095354 Alabama

Profile Details

NPI number 1851430383
LBN Legal business name Ortiz, Robert Michael
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 5th, 2007
Last updated Mar 13th, 2019 - about 6 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 1851430383 NPPES
Alabama MEDICAID 210987
Alabama Other 515-03239

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