Provider Demographics
NPI:1790479020
Name:ROBINSON, DONTE
Entity Type:Individual
Prefix:
First Name:DONTE
Middle Name:
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 1:5370 YORKSHIRE TERRACE DR APT C
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43232-1810
Mailing Address - Country:US
Mailing Address - Phone:901-240-1580
Mailing Address - Fax:
Practice Address - Street 1:5370 YORKSHIRE TERRACE DR APT C
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43232-1810
Practice Address - Country:US
Practice Address - Phone:901-240-1580
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-08
Last Update Date:2023-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes342000000XTransportation ServicesTransportation Network Company