Provider Demographics
NPI:1134977028
Name:SALVESEN, ROBERT (HIS)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:
Last Name:SALVESEN
Suffix:
Gender:M
Credentials:HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2120 TRENT BLVD
Mailing Address - Street 2:
Mailing Address - City:NEW BERN
Mailing Address - State:NC
Mailing Address - Zip Code:28560-5326
Mailing Address - Country:US
Mailing Address - Phone:252-637-4327
Mailing Address - Fax:252-631-0716
Practice Address - Street 1:2120 TRENT BLVD
Practice Address - Street 2:
Practice Address - City:NEW BERN
Practice Address - State:NC
Practice Address - Zip Code:28560-5326
Practice Address - Country:US
Practice Address - Phone:252-637-4327
Practice Address - Fax:252-631-0716
Is Sole Proprietor?:No
Enumeration Date:2024-05-07
Last Update Date:2024-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1490237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist