Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 1847 | AL |
N | 111NR0400X | Rehabilitation Chiropractor | 1847 | AL |
NPI | 1013013143 |
---|---|
Provider Name | Dr. Jonathan T Robinson |
First Address | Huntsville, AL 35801-5479 |
Second Address | Madison, AL 35758-7719 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/09/2006 |
Last Update Date | 11/05/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
51533585 | BLUE CROSS BLUE SHIELD (01) | AL |
51533586 | BLUE CROSS BLUE SHIELD (01) | AL |
V09882 | (02) | AL |