Individual
DR. CHARLES DONALD ROBERTSON II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2258 SUTTON LN, SUTTON, WV 26601-9717
(304) 750-2092
(304) 750-2093
Mailing address
2258 SUTTON LN, SUTTON, WV 26601-9717
(304) 750-2092
(304) 750-2093
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
699
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1070496
BRICKSTREET VENDOR #
WV
01
—
699
STATE LICENSE #
WV
01
—
74-318-5632
TAX I.D. #
WV
Enumeration date
10/19/2006
Last updated
09/21/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us