Provider Demographics
NPI:1043498322
Name:ROBERT HINDE CHIROPRACTIC, INC
Entity Type:Organization
Organization Name:ROBERT HINDE CHIROPRACTIC, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSOCIATE DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:AARON
Authorized Official - Middle Name:
Authorized Official - Last Name:HINDE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:831-438-4901
Mailing Address - Street 1:216 MOUNT HERMON RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:SCOTTS VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:95066-4030
Mailing Address - Country:US
Mailing Address - Phone:831-438-4901
Mailing Address - Fax:
Practice Address - Street 1:216 MOUNT HERMON RD
Practice Address - Street 2:SUITE B
Practice Address - City:SCOTTS VALLEY
Practice Address - State:CA
Practice Address - Zip Code:95066-4030
Practice Address - Country:US
Practice Address - Phone:831-438-4901
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-08
Last Update Date:2008-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC29061111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC0290610Medicare PIN
ZZZ64583ZMedicare UPIN