Robertson, Darrell Dewayne

Robertson, Darrell Dewayne is an individual health care provider with primary practice located at 2725 N Westwood Blvd Ste.5A, Poplar Bluff MO 63901-2346. He recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as his primary health care specialty. Robertson, Darrell Dewayne can be contacted via phone (573) 785-0333.

Contact Information

Primary practice address
2725 N Westwood Blvd Ste.5A Poplar Bluff MO 63901-2346
Phone: (573) 785-0333
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 2011012790 Missouri

Profile Details

NPI number 1982997599
LBN Legal business name Robertson, Darrell Dewayne
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2011
Last updated May 16th, 2011 - about 14 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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