Provider Demographics
NPI:1194053967
Name:ROBBINS, DAVID M (LAC, MAC, DIPL AC)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:M
Last Name:ROBBINS
Suffix:
Gender:M
Credentials:LAC, MAC, DIPL AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:455 W CENTER ST
Mailing Address - Street 2:
Mailing Address - City:WEST BRIDGEWATER
Mailing Address - State:MA
Mailing Address - Zip Code:02379-1637
Mailing Address - Country:US
Mailing Address - Phone:508-587-2693
Mailing Address - Fax:
Practice Address - Street 1:455 W CENTER ST
Practice Address - Street 2:
Practice Address - City:WEST BRIDGEWATER
Practice Address - State:MA
Practice Address - Zip Code:02379-1637
Practice Address - Country:US
Practice Address - Phone:508-587-2693
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-06
Last Update Date:2010-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA241887171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist