Tank, Robert

Tank, Robert is an individual health care provider with primary practice located at 4421 N 1St Ave , Evansville IN 47710-3621. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Tank, Robert can be contacted via phone (812) 759-3001.

Contact Information

Primary practice address
4421 N 1St Ave Evansville IN 47710-3621
Phone: (812) 759-3001
Fax: (812) 401-9013
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 05001580A Indiana
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 005221 Kentucky

Profile Details

NPI number 1124002795
LBN Legal business name Tank, Robert
Credentials PT, ATC, MA
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2005
Last updated Feb 8th, 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 1124002795 NPPES
Indiana Other 000000272141 BLUE CROSS BLUE SHIELD
Indiana MEDICAID 200829440 BLUE CROSS BLUE SHIELD
Indiana Other P00019865 BLUE CROSS BLUE SHIELD

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