Provider Demographics
NPI:1962624718
Name:SWICK, ROBIN ROSE
Entity type:Individual
Prefix:MRS
First Name:ROBIN
Middle Name:ROSE
Last Name:SWICK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29261 CASHOCTON RD
Mailing Address - Street 2:
Mailing Address - City:HOWARD
Mailing Address - State:OH
Mailing Address - Zip Code:43028
Mailing Address - Country:US
Mailing Address - Phone:740-427-2242
Mailing Address - Fax:
Practice Address - Street 1:29261 CASHOCTON RD
Practice Address - Street 2:
Practice Address - City:HOWARD
Practice Address - State:OH
Practice Address - Zip Code:43028
Practice Address - Country:US
Practice Address - Phone:740-427-2242
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2407434Medicaid