Provider Demographics
NPI:1639630668
Name:AKINS, RASHIN T SR (CERT HAIR LOSS SPC)
Entity Type:Individual
Prefix:
First Name:RASHIN
Middle Name:T
Last Name:AKINS
Suffix:SR
Gender:M
Credentials:CERT HAIR LOSS SPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:222 NORTHDOWN DR
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:DE
Mailing Address - Zip Code:19904-9746
Mailing Address - Country:US
Mailing Address - Phone:478-919-4128
Mailing Address - Fax:
Practice Address - Street 1:250 GATEWAY SOUTH BLVD STE 208
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19901-5861
Practice Address - Country:US
Practice Address - Phone:302-505-1543
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-31
Last Update Date:2019-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1744P3200XOther Service ProvidersSpecialistProsthetics Case Management