| Robert M. Factor, M.d., Llc | |
|
16 N Carroll St Ste 450 Madison WI 53703-2784 | |
| (608) 263-6025 | |
| (608) 888-1797 |
| Full Name | Robert M. Factor, M.d., Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 16 N Carroll St Ste 450, Madison, Wisconsin |
| Authorized Official Name and Position | Robert M Factor (SOLE OWNER) |
| Authorized Official Contact | 6082636025 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert M. Factor, M.d., Llc 16 N Carroll St Ste 450 Madison WI 53703-2784 Ph: (608) 263-6025 | Robert M. Factor, M.d., Llc 16 N Carroll St Ste 450 Madison WI 53703-2784 Ph: (608) 263-6025 |
| NPI Number | 1396048930 |
|---|---|
| Provider Enumeration Date | 12/20/2010 |
| Last Update Date | 08/08/2023 |
| Certification Date | 08/08/2023 |
| Medicare PECOS PAC ID | 7810185311 |
|---|---|
| Medicare Enrollment ID | O20101228000739 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396048930 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Robert M Factor |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376649970 PECOS PAC ID: 4981892486 Enrollment ID: I20101228000791 |
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