Healthcare Provider Details

I. General information

NPI: 1316911514
Provider Name (Legal Business Name): BARBARA JEAN ROBINSON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/14/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date: 02/16/2006
Reactivation Date: 10/02/2006

III. Provider practice location address

3556 STIMSON RD
NORTON OH
44203-6440
US

IV. Provider business mailing address

3556 STIMSON RD
NORTON OH
44203-6440
US

V. Phone/Fax

Practice location:
  • Phone: 330-665-4287
  • Fax:
Mailing address:
  • Phone: 330-665-4287
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171W00000X
TaxonomyContractor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: