Provider Demographics
NPI:1316463458
Name:NEW-ROBE, CHRYSTAL R
Entity type:Individual
Prefix:
First Name:CHRYSTAL
Middle Name:R
Last Name:NEW-ROBE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1289
Mailing Address - Street 2:
Mailing Address - City:BROWNING
Mailing Address - State:MT
Mailing Address - Zip Code:59417-1289
Mailing Address - Country:US
Mailing Address - Phone:406-338-3948
Mailing Address - Fax:406-338-2373
Practice Address - Street 1:503 POPIMI STREET
Practice Address - Street 2:
Practice Address - City:BROWNING
Practice Address - State:MT
Practice Address - Zip Code:59417-1289
Practice Address - Country:US
Practice Address - Phone:406-338-3948
Practice Address - Fax:406-338-2373
Is Sole Proprietor?:No
Enumeration Date:2017-08-21
Last Update Date:2017-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy