Provider Demographics
NPI:1699099051
Name:ALEO-BENNETT, ROBIN NICHOLE (DC)
Entity type:Individual
Prefix:DR
First Name:ROBIN
Middle Name:NICHOLE
Last Name:ALEO-BENNETT
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:ROBIN
Other - Middle Name:NICHOLE
Other - Last Name:ALEO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:30900 FORD RD
Mailing Address - Street 2:SUITE C
Mailing Address - City:GARDEN CITY
Mailing Address - State:MI
Mailing Address - Zip Code:48135-1892
Mailing Address - Country:US
Mailing Address - Phone:734-838-0353
Mailing Address - Fax:734-838-0359
Practice Address - Street 1:30900 FORD RD
Practice Address - Street 2:SUITE C
Practice Address - City:GARDEN CITY
Practice Address - State:MI
Practice Address - Zip Code:48135-1892
Practice Address - Country:US
Practice Address - Phone:734-838-0353
Practice Address - Fax:734-838-0359
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-15
Last Update Date:2014-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301009609111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor