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NPI Code Detail

MEDICARE: MICHAEL B ROBICHAUX

MEDICARE: MICHAEL B ROBICHAUX
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor2421AL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1210989OTHERNBCC

General Provider Information

NPI Number : 1154451508
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL B ROBICHAUX
Provider Business Mailing Address
First Line : 5750A SOUTHLAND DR
Second Line :
City : MOBILE
State : AL
Zip : 36693-3316
Country : US
Telephone Number : 251-450-5901
Fax Number : 251-662-7297
Provider Business Practice Location Address
First Line : 4211 GOVERNMENT BLVD
Second Line :
City : MOBILE
State : AL
Zip : 36693-4813
Country : US
Telephone Number : 251-666-2569
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/06/2007
Last Update Date : 07/08/2007

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Directions to “ MICHAEL B ROBICHAUX ” Practice Location

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