1639362221 NPI number — ROBIN LEE CONTINO RCP

Table of content: (NPI 1346598620)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1639362221 NPI number — ROBIN LEE CONTINO RCP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CONTINO
Provider First Name:
ROBIN
Provider Middle Name:
LEE
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
RCP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1639362221
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/19/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2536 CHURCHILL DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BURLINGTON
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
27215-8129
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
866-661-2751
Provider Business Mailing Address Fax Number:
866-602-5271

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5134 ARCHANGEL DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ALVISO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95002-9800
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
866-661-2751
Provider Business Practice Location Address Fax Number:
866-602-5271
Provider Enumeration Date:
08/27/2007

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: 227800000X , with the licence number:  00011885 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: BI329 . This is a "PTAN" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".




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