Provider Demographics
NPI:1578182705
Name:CAULKINS, ROBERT MARK (MD DPT)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:MARK
Last Name:CAULKINS
Suffix:
Gender:M
Credentials:MD DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:830 WILLOW OAK DR # 603
Mailing Address - Street 2:
Mailing Address - City:HOOVER
Mailing Address - State:AL
Mailing Address - Zip Code:35244-1630
Mailing Address - Country:US
Mailing Address - Phone:603-921-6557
Mailing Address - Fax:
Practice Address - Street 1:830 WILLOW OAK DR # 603
Practice Address - Street 2:
Practice Address - City:HOOVER
Practice Address - State:AL
Practice Address - Zip Code:35244-1630
Practice Address - Country:US
Practice Address - Phone:603-921-6557
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-08
Last Update Date:2020-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator