Provider Demographics
NPI:1093888679
Name:ROBIN ALEXANDER. LAFAYETTE CHIROPRACTIC GROUP
Entity Type:Organization
Organization Name:ROBIN ALEXANDER. LAFAYETTE CHIROPRACTIC GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:NIDHI
Authorized Official - Middle Name:
Authorized Official - Last Name:KHANNA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:925-283-8140
Mailing Address - Street 1:3466 MT DIABLO BLVD STE C203
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:CA
Mailing Address - Zip Code:94549-3982
Mailing Address - Country:US
Mailing Address - Phone:925-283-8140
Mailing Address - Fax:925-283-8224
Practice Address - Street 1:3466 MT DIABLO BLVD STE C203
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:CA
Practice Address - Zip Code:94549-3982
Practice Address - Country:US
Practice Address - Phone:925-283-8140
Practice Address - Fax:925-283-8224
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-15
Last Update Date:2008-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty