Super, Robert Michael

Super, Robert Michael is an sole proprietor health care provider with primary practice located at 1255 W 15Th St Ste 540 , Plano TX 75075-7248. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotic Fitter, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer is his primary health care specialty. Super, Robert Michael can be contacted via phone (410) 845-3929.

Contact Information

Primary practice address
1255 W 15Th St Ste 540 Plano TX 75075-7248
Phone: (410) 845-3929
Fax: (972) 767-3728
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotic Fitter 225000000X OF000004 Pennsylvania
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X RT005787 Pennsylvania

Profile Details

NPI number 1982838496
LBN Legal business name Super, Robert Michael
Credentials LAT, COF
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 12th, 2009
Last updated Apr 27th, 2014 - about 10 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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