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Individual

DR. JAMES ROBBIE ROBERTSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
2918 SAINT MARYS AVE, HANNIBAL, MO 63401-3715
(573) 221-5555
(573) 221-5765
Mailing address
2918 SAINT MARYS AVE, HANNIBAL, MO 63401-3715
(573) 221-5555
(573) 221-5765

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
038010206
IL
111N00000X
Chiropractor
Primary
2004022080
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000 515852
ANTHEM BCBS
MO
01
07551142
BCBS OF IL
IL
01
702659
HEALTHLINK
IL
01
702659
HEALTHLINK
MO
01
P00452283
RR MEDICARE
MO
Enumeration date
09/07/2006
Last updated
07/19/2012
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