Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208100000X | Physical Medicine & Rehabilitation Doctor | 0101255067 | VA |
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | G88960 | CA |
N | 2081P2900X | Pain Medicine | 190195 | NY |
NPI | 1174633879 |
---|---|
Provider Name | Dr. Robert Adam Schulman |
First Address | Santa Rosa, CA 95404-6617 |
Second Address | Santa Rosa, CA 95404-6617 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/08/2006 |
Last Update Date | 08/11/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F59131 | (02) | NY |
GE949A | PTAN (01) | CA |