Robertson, John
Robertson, John is an sole proprietor health care provider with primary practice located at 1102 Larkspur Ln , Cleburne TX 76033-4672. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Robertson, John can be contacted via phone (254) 337-0986.Contact Information
Primary practice address
1102 Larkspur Ln
Cleburne TX 76033-4672
Phone: (254) 337-0986
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | AT1300 | Texas |
Profile Details
| NPI number | 1194463935 |
|---|---|
| LBN Legal business name | Robertson, John |
| Credentials | Licensed Athletic Trainer (LAT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 23rd, 2022 |
| Last updated | May 23rd, 2022 - about 4 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 | 1194463935 | NPPES |
| Texas | Other | AT1300 | TEXAS DEPARTMENT OF HEALTH |
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