Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 2301005076 | MI |
NPI | 1003871773 |
---|---|
Provider Name | Dr. Scott V Robinson |
First Address | Ionia, MI 48846-1444 |
Second Address | Ionia, MI 48846-1444 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/04/2006 |
Last Update Date | 08/11/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
T33117 | (02) | MI |