DR. MICHAEL CARL ROBERTS

Address: 12745 Lexington St, Huntingdon, TN 38344-3720
Phone: 7319862120

DR. MICHAEL CARL ROBERTS (NPI# 1811061559) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1811061559
Entity Type 1 - Individual
Full Name DR. MICHAEL CARL ROBERTS
Credential D.C.
Practice Address 12745 Lexington St
Huntingdon
TN 38344-3720
Practice Telephone 7319862120
Practice Fax Number 7319863373
Enumeration Date 11/17/2006
Last Update Date 09/18/2012
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 111N00000X Chiropractor DC0000001372 TN Chiropractic Providers

Other Provider Identifier

State Issuer Identifier Type Code
TN 3813461 05
TN BLUE CROSS BLUE SHIELD 3062025 01
TN RAILROAD MEDICARE 350042566 01
TN AETNA 5729484 01
TN CIGNA WT2052 01
TN UNITED HEALTHCARE 44-40326 01
TN TAX ID # 62-1685843 01

Office Location

Street Address 12745 LEXINGTON ST
City HUNTINGDON
State TN
Zip Code 38344-3720

Providers with the same location

NPI Name Address
1063585677 DR. CHARLES ANTHONY THOMASON 12707 Lexington St, Huntingdon, TN 38344-3720
1619133949 CHARLES A THOMASON 12707 Lexington St, Huntingdon, TN 38344-3720

Competitor

Search similar physicians

City HUNTINGDON
Zip Code 38344

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.