Provider Demographics
NPI:1073510749
Name:MONOKIAN, ROBERT EDWARD (DC)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:EDWARD
Last Name:MONOKIAN
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 1:2006 EASTERN SUBURB STE 4
Mailing Address - Street 2:
Mailing Address - City:CHRISTIANSTED
Mailing Address - State:VI
Mailing Address - Zip Code:00820-5090
Mailing Address - Country:US
Mailing Address - Phone:340-719-1405
Mailing Address - Fax:340-719-4445
Practice Address - Street 1:2006 EASTERN SUBURB
Practice Address - Street 2:SUITE 4
Practice Address - City:CHRISTIANSTED
Practice Address - State:VI
Practice Address - Zip Code:00820-5090
Practice Address - Country:US
Practice Address - Phone:340-719-4444
Practice Address - Fax:340-719-4445
Is Sole Proprietor?:No
Enumeration Date:2005-07-07
Last Update Date:2013-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VI28111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician
Provider Identifiers
StateIdentifier IDID TypeIssuer
VIT44551Medicare UPIN