Provider Demographics
NPI:1366549404
Name:ROBBINS, ROBIN (DC)
Entity type:Individual
Prefix:DR
First Name:ROBIN
Middle Name:
Last Name:ROBBINS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:510 W TUDOR RD
Mailing Address - Street 2:SUITE 111
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99503-6606
Mailing Address - Country:US
Mailing Address - Phone:907-562-2802
Mailing Address - Fax:907-562-7667
Practice Address - Street 1:510 W TUDOR RD
Practice Address - Street 2:SUITE 111
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99503-6606
Practice Address - Country:US
Practice Address - Phone:907-562-2802
Practice Address - Fax:907-562-7667
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AKAA182111NN0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN0400XChiropractic ProvidersChiropractorNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AKAK00064Medicare ID - Type UnspecifiedMEDICARE ID #