Healthcare Provider Details

I. General information

NPI: 1437591328
Provider Name (Legal Business Name): ROBBINS FAMILY HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2013
Last Update Date: 07/24/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

355 N CHAMBER DR
FREDERICKTOWN MO
63645-7947
US

IV. Provider business mailing address

355 N CHAMBER DR
FREDERICKTOWN MO
63645-7947
US

V. Phone/Fax

Practice location:
  • Phone: 573-944-7231
  • Fax: 573-561-1166
Mailing address:
  • Phone: 573-944-7231
  • Fax: 573-561-1166

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL D ROBBINS
Title or Position: OWNER
Credential: MD
Phone: 573-944-7231