Robinson, Cody Blake

Robinson, Cody Blake is an individual health care provider with primary practice located at 404 Revere St , Kingsport TN 37660-3671. He recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as his primary health care specialty. Robinson, Cody Blake can be contacted via phone (423) 246-4600.

Contact Information

Primary practice address
404 Revere St Kingsport TN 37660-3671
Phone: (423) 246-4600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X

Profile Details

NPI number 1942438585
LBN Legal business name Robinson, Cody Blake
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2009
Last updated Jun 23rd, 2009 - about 17 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 1942438585 NPPES
Tennessee MEDICAID 0446506
Tennessee Other 004978048

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