Provider Demographics
NPI:1588710800
Name:CUMMINS, ROBERT SWALWELL JR (DC)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:SWALWELL
Last Name:CUMMINS
Suffix:JR
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 1:4122 FACTORIA BLVD SE
Mailing Address - Street 2:SUITE 202
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98006-4200
Mailing Address - Country:US
Mailing Address - Phone:425-590-9158
Mailing Address - Fax:425-458-0100
Practice Address - Street 1:4122 FACTORIA BLVD SE
Practice Address - Street 2:SUITE 203
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98006-4200
Practice Address - Country:US
Practice Address - Phone:425-614-0680
Practice Address - Fax:425-614-0679
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-27
Last Update Date:2012-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX011339-1111N00000X
WACH00034659111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor