Provider Demographics
NPI:1831299684
Name:ST.DENNIS, ROBERT E (DC)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:E
Last Name:ST.DENNIS
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:PO BOX 1904
Mailing Address - Street 2:
Mailing Address - City:WENATCHEE
Mailing Address - State:WA
Mailing Address - Zip Code:98807-1904
Mailing Address - Country:US
Mailing Address - Phone:509-664-5160
Mailing Address - Fax:509-667-2518
Practice Address - Street 1:414 S CHELAN AVE
Practice Address - Street 2:
Practice Address - City:WENATCHEE
Practice Address - State:WA
Practice Address - Zip Code:98801-2912
Practice Address - Country:US
Practice Address - Phone:509-664-5160
Practice Address - Fax:509-667-2518
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00002596111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor