1063783108 NPI number — SANDRA MITCHELL ROBERTSON PTA

Table of content: SANDRA MITCHELL ROBERTSON PTA (NPI 1063783108)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1063783108 NPI number — SANDRA MITCHELL ROBERTSON PTA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ROBERTSON
Provider First Name:
SANDRA
Provider Middle Name:
MITCHELL
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
PTA
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
MITCHELL
Provider Other First Name:
SANDRA
Provider Other Middle Name:
KAYE
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1063783108
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/20/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
511 WINDMILL ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WALNUT COVE
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
27052-7706
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
336-591-7357
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
511 WINDMILL ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WALNUT COVE
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27052-7706
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
336-591-7357
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/20/2012

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 225200000X , with the licence number:  A2520 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)