Hines, Robert Desha
Hines, Robert Desha is an individual health care provider with primary practice located at 840 Montclair Rd Suite 317, Birmingham AL 35213-1920. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Body Imaging, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Body Imaging is his primary health care specialty. Hines, Robert Desha can be contacted via phone (205) 592-5135.Contact Information
Primary practice address
840 Montclair Rd Suite 317
Birmingham AL 35213-1920
Phone: (205) 592-5135
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Body Imaging | 2085B0100X | MD.30751 | Alabama |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X |
Profile Details
| NPI number | 1396900197 |
|---|---|
| LBN Legal business name | Hines, Robert Desha |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 22nd, 2008 |
| Last updated | Dec 30th, 2015 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396900197 | NPPES |
| Alabama | MEDICAID | 149973 | |
| Alabama | MEDICAID | 149983 | |
| Alabama | Other | 511-35200 | |
| Alabama | Other | 511-35201 | |
| Alabama | MEDICAID | 150147 | |
| Alabama | Other | 511-35204 | |
| Alabama | MEDICAID | 148841 | |
| Alabama | Other | 511-35202 |
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