Provider Demographics
NPI:1487823993
Name:CROSBY, ROBERT P (PARAMEDIC)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:P
Last Name:CROSBY
Suffix:
Gender:M
Credentials:PARAMEDIC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:BLDG 301 ANDREWS AVE
Mailing Address - Street 2:
Mailing Address - City:FT. RUCKER
Mailing Address - State:AL
Mailing Address - Zip Code:36362-5333
Mailing Address - Country:US
Mailing Address - Phone:334-255-7032
Mailing Address - Fax:334-255-7090
Practice Address - Street 1:BLDG 301 ANDREWS AVE
Practice Address - Street 2:
Practice Address - City:FT. RUCKER
Practice Address - State:AL
Practice Address - Zip Code:36362-5333
Practice Address - Country:US
Practice Address - Phone:334-255-7032
Practice Address - Fax:334-255-7090
Is Sole Proprietor?:No
Enumeration Date:2008-02-28
Last Update Date:2015-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL9700484146L00000X
ALM0895089146L00000X
AL2-051885164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146L00000XEmergency Medical Service ProvidersEmergency Medical Technician, Paramedic
No164W00000XNursing Service ProvidersLicensed Practical Nurse