Provider Demographics
NPI:1285738765
Name:ROBIN P. HOOD, D.C., P.A.
Entity type:Organization
Organization Name:ROBIN P. HOOD, D.C., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:P
Authorized Official - Last Name:HOOD
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:7852-443-4177
Mailing Address - Street 1:1122 BROADWAY STREET
Mailing Address - Street 2:
Mailing Address - City:CONCORDIA
Mailing Address - State:KS
Mailing Address - Zip Code:66901-4516
Mailing Address - Country:US
Mailing Address - Phone:785-243-4177
Mailing Address - Fax:785-243-4516
Practice Address - Street 1:1122 BROADWAY STREET
Practice Address - Street 2:
Practice Address - City:CONCORDIA
Practice Address - State:KS
Practice Address - Zip Code:66901-4516
Practice Address - Country:US
Practice Address - Phone:785-243-4177
Practice Address - Fax:785-243-4516
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-12
Last Update Date:2007-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS01-03237111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS660110Medicare PIN