Dr. Robin Lee Bissell
General Practice Physician
124 Miller St
Grantsville
, Maryland 21536-1383
Dr. Robin Lee Bissell
General Practice Physician
124 Miller St
Grantsville
, Maryland 21536-1383
(475) 277-4961
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About
Features
Specialties
- General Practice Physician
Languages spoken
- English
Location
First Address
- Dr. Robin Lee Bissell
- Po Box 718
- Grantsville, MD
- Zip : 21536-0718
- Fax : (475) 277-4961
- Phone : (240) 444-4219
Second Address
- Dr. Robin Lee Bissell
- 124 Miller St
- Grantsville, MD
- Zip : 21536-1383
- Fax : (475) 277-4961
- Phone : (240) 444-4219
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208D00000X | General Practice Physician | D0034231 | MD |
National Provider Identifier
| NPI | 1033117221 |
|---|---|
| Provider Name | Dr. Robin Lee Bissell |
| First Address | Grantsville, MD 21536-0718 |
| Second Address | Grantsville, MD 21536-1383 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/07/2005 |
| Last Update Date | 06/09/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 287151300 | (05) | MA |
| 287151300 | (05) | MD |
| 521686633 | COMMERCIAL (01) | |
| 71816401 | BS (01) | MD |
| 865494 | UNITED HEALTH CARE (01) | |
| E53239 | (02) | |
| P13867 | BCBS (01) | MD |
| R1990001 | BLUE CHOICE (01) | MD |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.