Provider Demographics
NPI:1679572143
Name:ROBINETT, DEBORAH JANE (DO)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:JANE
Last Name:ROBINETT
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:JANE
Other - Middle Name:
Other - Last Name:ROBINETT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DO
Mailing Address - Street 1:319 GARFIELD ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80206-4509
Mailing Address - Country:US
Mailing Address - Phone:307-256-9545
Mailing Address - Fax:
Practice Address - Street 1:8101 E LOWRY BLVD STE 110
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80230-7195
Practice Address - Country:US
Practice Address - Phone:303-214-4618
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-07-18
Last Update Date:2023-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WYWY 5397A2084P0800X
COCDRH.00010282084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
WY315777OtherBCBS
WY109509900Medicaid
WY305751OtherBLUE SHIELD OF WY
WY305751OtherBLUE SHIELD OF WY
WY109509900Medicaid