Provider Demographics
NPI:1194753384
Name:ROBINSON, JULIE A (DC)
Entity type:Individual
Prefix:MISS
First Name:JULIE
Middle Name:A
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 E DELAWARE ST
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE CITY
Mailing Address - State:IN
Mailing Address - Zip Code:47327-1332
Mailing Address - Country:US
Mailing Address - Phone:765-478-3503
Mailing Address - Fax:765-478-5327
Practice Address - Street 1:105 E DELAWARE ST
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE CITY
Practice Address - State:IN
Practice Address - Zip Code:47327-1332
Practice Address - Country:US
Practice Address - Phone:765-478-3503
Practice Address - Fax:765-478-5327
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2010-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08000791111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000382281OtherANTHEM
IN203102445100OtherCARESOURCE
IN10256460AMedicaid
IN203102445100OtherCARESOURCE
INT35134Medicare UPIN