MEDICARE: DR. ROBERT L HUME DPM

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
1	213ES0131X	Foot Surgery Podiatrist	436-025	WI
2	332B00000X	Durable Medical Equipment & Medical Supplies

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	791480582	OTHER		MEDICARE RAILROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	391359900019	OTHER	WI	BLUE CROSS BLUE SHIELD
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1609879824
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT L HUME DPM

Provider Business Mailing Address
First Line	:	1200 N 10TH ST W
Second Line	:	SUITE A
City	:	ALTOONA
State	:	WI
Zip	:	54720-2639
Country	:	US
Telephone Number	:	715-832-1400
Fax Number	:	715-832-4187

Provider Business Practice Location Address
First Line	:	1200 N 10TH ST W
Second Line	:	SUITE A
City	:	ALTOONA
State	:	WI
Zip	:	54720-2639
Country	:	US
Telephone Number	:	715-832-1400
Fax Number	:	715-832-4187

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/23/2005
Last Update Date	:	07/23/2013

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Directions to “ DR. ROBERT L HUME DPM” Practice Location

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