Theakston, Robert W

Theakston, Robert W is an sole proprietor health care provider with primary practice located at 211 Greenhill Blvd Nw , Fort Payne AL 35967-3755. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Theakston, Robert W can be contacted via phone (256) 845-9355.

Contact Information

Primary practice address
211 Greenhill Blvd Nw Fort Payne AL 35967-3755
Phone: (256) 845-9355
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 19991 Alabama
Allopathic & Osteopathic Physicians / General Practice 208D00000X 19991 Alabama

Profile Details

NPI number 1255374492
LBN Legal business name Theakston, Robert W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 14th, 2006
Last updated Oct 3rd, 2013 - about 13 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 1255374492 NPPES
Alabama MEDICAID 009932309

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