Provider Demographics
NPI:1619275344
Name:ROBINSON, JOEY MATTHEW (LPN)
Entity Type:Individual
Prefix:MR
First Name:JOEY
Middle Name:MATTHEW
Last Name:ROBINSON
Suffix:
Gender:M
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1944 FOUNTAINVIEW CT
Mailing Address - Street 2:APT C
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43232-3138
Mailing Address - Country:US
Mailing Address - Phone:614-935-4502
Mailing Address - Fax:
Practice Address - Street 1:1944 FOUNTAINVIEW CT
Practice Address - Street 2:APT C
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43232-3138
Practice Address - Country:US
Practice Address - Phone:614-935-4502
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-04
Last Update Date:2011-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN.122612-M-IV164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse