# MR. EARL ROBERTSON

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1629502968
- **Gender:** Man
- **Credential:** CP, LPO

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 222Z00000X | Orthotist | LO 58 | TN | — |
| 224P00000X | Prosthetist | LP 49 | TN | Yes |

## Other

- **Enumeration date:** 04/13/2017
- **Last updated:** 04/13/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | CP 1357 | ABC | — |