Proctor, Robyn

Proctor, Robyn is an individual health care provider with primary practice located at 320 Ring Rd , Elizabethtown KY 42701-6777. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Proctor, Robyn can be contacted via phone (270) 769-3377.

Contact Information

Primary practice address
320 Ring Rd Elizabethtown KY 42701-6777
Fax: (270) 769-6974
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 0170 Kentucky

Profile Details

NPI number 1093756694
LBN Legal business name Proctor, Robyn
Credentials LPCA
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Mar 29th, 2008 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093756694 NPPES
Kentucky Other 000000544174 ANTHEM
Kentucky MEDICAID 30605018 ANTHEM

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