Provider Demographics
NPI:1164176707
Name:SLATER, ROBIN G
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:G
Last Name:SLATER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2146 HAVERFORD DR
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23320-2522
Mailing Address - Country:US
Mailing Address - Phone:175-721-8032
Mailing Address - Fax:
Practice Address - Street 1:2146 HAVERFORD DR
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320-2522
Practice Address - Country:US
Practice Address - Phone:175-721-8032
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-11
Last Update Date:2022-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)