Provider Demographics
NPI:1013013143
Name:ROBINSON, JONATHAN T (DC)
Entity Type:Individual
Prefix:DR
First Name:JONATHAN
Middle Name:T
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 1:2010 S POINT PARK CIR
Mailing Address - Street 2:APT 150
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-5479
Mailing Address - Country:US
Mailing Address - Phone:256-461-7775
Mailing Address - Fax:256-461-7756
Practice Address - Street 1:12205 COUNTY LINE RD
Practice Address - Street 2:SUITE D
Practice Address - City:MADISON
Practice Address - State:AL
Practice Address - Zip Code:35758-7719
Practice Address - Country:US
Practice Address - Phone:256-461-7775
Practice Address - Fax:256-461-7756
Is Sole Proprietor?:No
Enumeration Date:2006-09-16
Last Update Date:2019-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1847111NR0400X, 111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NR0400XChiropractic ProvidersChiropractorRehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51533586OtherBLUE CROSS BLUE SHIELD
AL51533585OtherBLUE CROSS BLUE SHIELD
51533585Medicare PIN
ALV09882Medicare UPIN