Provider Demographics
NPI:1245266295
Name:STEIN, ROBERT S (DC)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:S
Last Name:STEIN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10908 PARK HEIGHTS AVE
Mailing Address - Street 2:
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-3020
Mailing Address - Country:US
Mailing Address - Phone:410-356-9656
Mailing Address - Fax:
Practice Address - Street 1:90 PAINTERS MILL RD
Practice Address - Street 2:SUITE 131
Practice Address - City:OWINGS MILLS
Practice Address - State:MD
Practice Address - Zip Code:21117-3630
Practice Address - Country:US
Practice Address - Phone:410-581-9966
Practice Address - Fax:410-581-9969
Is Sole Proprietor?:No
Enumeration Date:2006-06-23
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDS01544225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDR4980002OtherBCBS BLUECHOICE
MDK934OtherBLUE CROSS BLUE SHIELD
MDR4980002OtherBCBS BLUECHOICE
MDK934OtherBLUE CROSS BLUE SHIELD