Robertson, Andrew L

Robertson, Andrew L is an individual health care provider with primary practice located at 423 S. South Street , Mount Airy NC 27030. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Robertson, Andrew L can be contacted via phone (336) 789-6267.

Contact Information

Primary practice address
423 S. South Street Mount Airy NC 27030
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 42152 Wisconsin

Profile Details

NPI number 1295830875
LBN Legal business name Robertson, Andrew L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2006
Last updated Jul 8th, 2007 - about 19 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 1295830875 NPPES
Wisconsin MEDICAID 33340800

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