Provider Demographics
NPI:1346253614
Name:SINNOTT, ROBERT HENRY (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:HENRY
Last Name:SINNOTT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:88 VINCENT DR
Mailing Address - Street 2:
Mailing Address - City:MT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29464-4031
Mailing Address - Country:US
Mailing Address - Phone:843-971-2003
Mailing Address - Fax:843-971-0406
Practice Address - Street 1:88 VINCENT DR
Practice Address - Street 2:
Practice Address - City:MT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29464-4031
Practice Address - Country:US
Practice Address - Phone:843-971-2003
Practice Address - Fax:843-971-0406
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-15
Last Update Date:2012-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCSC 087572084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC327877Medicaid
SCB914070281Medicare ID - Type Unspecified
SC3344Medicare UPIN