Theakston, Robert W
Theakston, Robert W is an sole proprietor health care provider with primary practice located at 211 Greenhill Blvd Nw , Fort Payne AL 35967-3755. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Theakston, Robert W can be contacted via phone (256) 845-9355.Contact Information
Primary practice address
211 Greenhill Blvd Nw
Fort Payne AL 35967-3755
Phone: (256) 845-9355
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 19991 | Alabama |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 19991 | Alabama |
Profile Details
| NPI number | 1255374492 |
|---|---|
| LBN Legal business name | Theakston, Robert W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 14th, 2006 |
| Last updated | Oct 3rd, 2013 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255374492 | NPPES |
| Alabama | MEDICAID | 009932309 |
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