Provider Demographics
NPI:1912193004
Name:DR. ROBERT H MEICHNER MD., P.C.
Entity Type:Organization
Organization Name:DR. ROBERT H MEICHNER MD., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN INCORPORATED PROPRIETOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:HENRY
Authorized Official - Last Name:MEICHNER
Authorized Official - Suffix:
Authorized Official - Credentials:MD PC
Authorized Official - Phone:251-990-9904
Mailing Address - Street 1:8050 SPRINGRUN ROAD
Mailing Address - Street 2:
Mailing Address - City:FAIRHOPE
Mailing Address - State:AL
Mailing Address - Zip Code:36532
Mailing Address - Country:US
Mailing Address - Phone:251-990-9904
Mailing Address - Fax:251-990-9900
Practice Address - Street 1:8050 SPRINGRUN ROAD
Practice Address - Street 2:
Practice Address - City:FAIRHOPE
Practice Address - State:AL
Practice Address - Zip Code:36532
Practice Address - Country:US
Practice Address - Phone:251-990-9904
Practice Address - Fax:251-990-9900
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-21
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALAL12052207R00000X, 207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL82087OtherBCBS
ALC73751OtherUPIN
ALC73751OtherHEALTH SPRINGS
AL2910001OtherUNITED HEALTHCARE
AL82087OtherFED BC
ALC73751OtherHEALTH SPRINGS