Robertson, Thomas

Robertson, Thomas is an individual health care provider with primary practice located at 421 S Keech St , Daytona Beach FL 32114-4623. He recently has only one registered license in Nursing Service Providers / Case Management, which is considered as his primary health care specialty. Robertson, Thomas can be contacted via phone (386) 238-4980.

Contact Information

Primary practice address
421 S Keech St Daytona Beach FL 32114-4623
Phone: (386) 238-4980
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Case Management 163WC0400X RN9169753 Florida

Profile Details

NPI number 1063539070
LBN Legal business name Robertson, Thomas
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2007
Last updated May 13th, 2008 - about 16 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 1063539070 NPPES
Florida MEDICAID 312001500

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