Provider Demographics
NPI:1013179043
Name:ROBERT E MONK III & ASSOCIATES PC
Entity Type:Organization
Organization Name:ROBERT E MONK III & ASSOCIATES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:E
Authorized Official - Last Name:MONK
Authorized Official - Suffix:III
Authorized Official - Credentials:DC
Authorized Official - Phone:215-598-7103
Mailing Address - Street 1:842 DURHAM RD
Mailing Address - Street 2:STE 6
Mailing Address - City:NEWTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18940-9680
Mailing Address - Country:US
Mailing Address - Phone:215-598-7103
Mailing Address - Fax:215-598-8260
Practice Address - Street 1:842 DURHAM RD
Practice Address - Street 2:STE 6
Practice Address - City:NEWTOWN
Practice Address - State:PA
Practice Address - Zip Code:18940-9680
Practice Address - Country:US
Practice Address - Phone:215-598-7103
Practice Address - Fax:215-598-8260
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-01
Last Update Date:2008-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPADC0029491111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAPADC0029491OtherSTATE LICENSE
PAPADC0029491OtherSTATE LICENSE