Slackman, Robert

Slackman, Robert is an individual health care provider with primary practice located at 1030 S Jefferson St Suite 109, Roanoke VA 24016-4418. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Reproductive Endocrinology. Allopathic & Osteopathic Physicians / Reproductive Endocrinology is his primary health care specialty. Slackman, Robert can be contacted via phone (540) 985-4099.

Contact Information

Primary practice address
1030 S Jefferson St Suite 109 Roanoke VA 24016-4418
Phone: (540) 985-4099
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 0101-053475 Virginia
Allopathic & Osteopathic Physicians / Reproductive Endocrinology 207VE0102X 0101-053475 Virginia

Profile Details

NPI number 1609842954
LBN Legal business name Slackman, Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2006
Last updated Aug 12th, 2011 - about 13 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 1609842954 NPPES
Virginia MEDICAID 6206816
Virginia MEDICAID 1609842954

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