Provider Demographics
NPI:1710928346
Name:ROBBINS, PHILIP C (DO)
Entity Type:Individual
Prefix:DR
First Name:PHILIP
Middle Name:C
Last Name:ROBBINS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:90 JACKSON PIKE
Mailing Address - Street 2:
Mailing Address - City:GALLIPOLIS
Mailing Address - State:OH
Mailing Address - Zip Code:45631-1560
Mailing Address - Country:US
Mailing Address - Phone:740-446-5890
Mailing Address - Fax:740-446-5532
Practice Address - Street 1:90 JACKSON PIKE
Practice Address - Street 2:
Practice Address - City:GALLIPOLIS
Practice Address - State:OH
Practice Address - Zip Code:45631-1560
Practice Address - Country:US
Practice Address - Phone:740-446-5890
Practice Address - Fax:740-446-5532
Is Sole Proprietor?:No
Enumeration Date:2006-06-08
Last Update Date:2007-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34-00-3087207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0526890OtherMOLINA MEDICAID
OH000000185054OtherUNISON MEDICAID #
OH0526890Medicaid
WV0050424000Medicaid
1710928346OtherNPI
000000484544OtherANTHEM BCBS
OH0526890OtherMOLINA MEDICAID
1710928346OtherNPI