Provider Demographics
NPI:1801220090
Name:ROBBINS, DENNIS JOSEPH
Entity type:Individual
Prefix:MR
First Name:DENNIS
Middle Name:JOSEPH
Last Name:ROBBINS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25726 CANDLEWICK CT
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44145-1476
Mailing Address - Country:US
Mailing Address - Phone:419-545-5516
Mailing Address - Fax:
Practice Address - Street 1:25726 CANDLEWICK CT
Practice Address - Street 2:
Practice Address - City:WESTLAKE
Practice Address - State:OH
Practice Address - Zip Code:44145-1476
Practice Address - Country:US
Practice Address - Phone:419-545-5516
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-24
Last Update Date:2013-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN-335629163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse