Provider Demographics
NPI:1598800468
Name:ROBINSON, SHAUN EDWARD
Entity Type:Individual
Prefix:MR
First Name:SHAUN
Middle Name:EDWARD
Last Name:ROBINSON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6900 GEORGIA AVE N.W.
Mailing Address - Street 2:BLDG. 2 ROOM 2D03
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20307
Mailing Address - Country:US
Mailing Address - Phone:202-372-3716
Mailing Address - Fax:202-372-5075
Practice Address - Street 1:6900 GEORGIA AVE NW
Practice Address - Street 2:BLDG. 2 ROOM 2D03
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20307-0003
Practice Address - Country:US
Practice Address - Phone:202-372-3716
Practice Address - Fax:202-372-5075
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAB1625336146N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146N00000XEmergency Medical Service ProvidersEmergency Medical Technician, Basic