Provider Demographics
NPI:1851320337
Name:ROBINSON, DEAN ANDREW (DC)
Entity type:Individual
Prefix:DR
First Name:DEAN
Middle Name:ANDREW
Last Name:ROBINSON
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 1:746 S MAIN AVE
Mailing Address - Street 2:SUITE D
Mailing Address - City:FALLBROOK
Mailing Address - State:CA
Mailing Address - Zip Code:92028-3333
Mailing Address - Country:US
Mailing Address - Phone:760-728-8999
Mailing Address - Fax:760-728-0821
Practice Address - Street 1:746 S MAIN AVE
Practice Address - Street 2:SUITE D
Practice Address - City:FALLBROOK
Practice Address - State:CA
Practice Address - Zip Code:92028-3333
Practice Address - Country:US
Practice Address - Phone:760-728-8999
Practice Address - Fax:760-728-0821
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-30
Last Update Date:2013-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC0120360111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC0120360Medicare PIN