Chris Paul Robl
Individual provider Active NPI Case Manager/Care Coordinator · Ellinwood, KS
NPI 1629106554 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1629106554
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- License
- K02549490 (KS)
- Practice address
- 300 E 3Rd St
Ellinwood, KS 67526-1636 - Phone
- (620) 564-2904
- NPI assigned
- Mar 1, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| K02549490 | KS | MD | Case Manager/Care Coordinator |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | K02549490 | KS | Yes |
Addresses
Primary practice location
300 E 3Rd St
Ellinwood, KS 67526-1636
Mailing address
300 E 3Rd St
Ellinwood, KS 67526-1636
Phone (620) 564-2904
Other providers in Ellinwood, KS
- Troy Lance Moore
- Jessica Mulch
- Brooke Nicole Panning
- Rebecca L Rebel
- Red Haus Pharmacy LLC
- David W Sanger
- Brianna Leigh Saryerwinnie
- Sauer Chiropractic & Sports Clinic Inc
- Aaron D Sauer
- Dianna Mae Smith
All providers in Ellinwood, KS · Case Manager/Care Coordinator in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.