Robert Oscar Robertson in Jackson - Family Medicine
Robert Oscar Robertson - NPI 1336137892
Robert Oscar Robertson is a Family Medicine in Jackson, Michigan. Robert Oscar Robertson practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Robert Oscar Robertson is 1336137892. The last update date is 2011-10-04.
Robert Oscar Robertson's current location address is 300 W Washington Ave, Jackson, Michigan. You can contact this provider via phone number 5177834664 and fax number 5177834698. The mailing address for Robert Oscar Robertson is 300 W Washington Ave, Jackson, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Robert Oscar Robertson |
|---|---|
| Address | 300 W Washington Ave, Jackson, Michigan |
| Phone Number | 5177834664 |
| Fax Number | 5177834698 |
| Sole Proprietor | N |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1336137892 |
|---|---|
| Provider Enumeration Date | 2005-10-10 |
| Last Updated Date | 2011-10-04 |
Provider Mailing Address Detail
| Address | 300 W Washington Ave |
|---|---|
| City | Jackson |
| State | Michigan (MI) |
| Post Code | 492012180 |
| Phone Number | 5177834664 |
| Fax Number | 5177834698 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 5101007194 |
|
Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P62172 | AETNA | ||
| 1744106 | MI | -- | |
| 700C86358 | MI | BCBS |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Robert Oscar Robertson by the Centers for Medicare & Medicaid Services?
The Robert Oscar Robertson has been issued the NPI (National Provider Identifier) 1336137892 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Robert Oscar Robertson is physically located?
The Robert Oscar Robertson is physically situated at the following address: 300 W Washington Ave, Jackson, MI, 492012180.
What is the Robert Oscar Robertson's area of specialization and corresponding taxonomy classification?
The Robert Oscar Robertson's specialty field is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their specialties.
On what date did the Robert Oscar Robertson receive the assignment of its 1336137892 from the Centers for Medicare & Medicaid Services?
The Robert Oscar Robertson was issued its 1336137892 by the Centers for Medicare & Medicaid Services on 2005-10-10.
When was the information regarding Robert Oscar Robertson, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Robert Oscar Robertson, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2011-10-04.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY