Robertson, John Douglas
Robertson, John Douglas is an individual health care provider with primary practice located at 6727 Taylor Court , Montgomery AL 36117-7708. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery is his primary health care specialty. Robertson, John Douglas can be contacted via phone (334) 284-2800.Contact Information
Primary practice address
6727 Taylor Court
Montgomery AL 36117-7708
Phone: (334) 284-2800
Fax: (334) 284-0438
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 24023 | Alabama |
| Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X | 24023 | Alabama |
Profile Details
| NPI number | 1841250156 |
|---|---|
| LBN Legal business name | Robertson, John Douglas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 23rd, 2006 |
| Last updated | Dec 21st, 2011 - about 15 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 | 1841250156 | NPPES |
| Alabama | MEDICAID | 051553528 | |
| Alabama | Other | 051515857 | |
| Alabama | Other | 15857 |
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