Individual
DR. MICHAEL CARL ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
12745 LEXINGTON ST, HUNTINGDON, TN 38344-3720
(731) 986-2120
(731) 986-3373
Mailing address
12745 LEXINGTON ST, HUNTINGDON, TN 38344-3720
(731) 986-2120
(731) 986-3373
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC0000001372
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3062025
BLUE CROSS BLUE SHIELD
TN
01
—
350042566
RAILROAD MEDICARE
TN
05
—
3813461
—
TN
01
—
44-40326
UNITED HEALTHCARE
TN
01
—
5729484
AETNA
TN
01
—
62-1685843
TAX ID #
TN
01
—
WT2052
CIGNA
TN
Enumeration date
11/17/2006
Last updated
09/18/2012
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