Provider Demographics
NPI:1871721472
Name:ADVANCED NEUROMUSCULAR THERAPIES, INC.
Entity type:Organization
Organization Name:ADVANCED NEUROMUSCULAR THERAPIES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:SCHAFER
Authorized Official - Suffix:
Authorized Official - Credentials:LMT, NCTMB, BA
Authorized Official - Phone:205-979-2668
Mailing Address - Street 1:5228 LOGAN DR
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35242-3250
Mailing Address - Country:US
Mailing Address - Phone:205-979-2668
Mailing Address - Fax:205-408-9136
Practice Address - Street 1:5228 LOGAN DR
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35242-3250
Practice Address - Country:US
Practice Address - Phone:205-979-2668
Practice Address - Fax:205-408-9136
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-23
Last Update Date:2009-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL6, E-1320171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171W00000XOther Service ProvidersContractorGroup - Single Specialty