Provider Demographics
NPI:1730246430
Name:ROBINSON, DOWIN A (DC)
Entity type:Individual
Prefix:
First Name:DOWIN
Middle Name:A
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 1:1438 H SHORTCUT HWY
Mailing Address - Street 2:
Mailing Address - City:SLIDELL
Mailing Address - State:LA
Mailing Address - Zip Code:70458-8124
Mailing Address - Country:US
Mailing Address - Phone:985-641-7949
Mailing Address - Fax:985-641-7680
Practice Address - Street 1:1438 H SHORTCUT HWY
Practice Address - Street 2:
Practice Address - City:SLIDELL
Practice Address - State:LA
Practice Address - Zip Code:70458-8124
Practice Address - Country:US
Practice Address - Phone:985-641-7949
Practice Address - Fax:985-641-7680
Is Sole Proprietor?:No
Enumeration Date:2007-01-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA308111N00000X
MS381111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
59025Medicare UPIN