Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | 15331 | AL |
NPI | 1013001148 |
---|---|
Provider Name | Robins J Newton |
First Address | Birmingham, AL 35205-1250 |
Second Address | Birmingham, AL 35205 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2006 |
Last Update Date | 19/06/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000088833 | (05) | AL |
051088833 | BLUE CROSS (01) | AL |
F54352 | (02) | AL |