Provider Demographics
NPI:1114043213
Name:PAPE, ROBERT DAVID (DC)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:DAVID
Last Name:PAPE
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 1:1305 FRANKLIN ST
Mailing Address - Street 2:SUITE 510
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94612-3213
Mailing Address - Country:US
Mailing Address - Phone:510-444-7000
Mailing Address - Fax:510-444-7000
Practice Address - Street 1:1305 FRANKLIN ST
Practice Address - Street 2:SUITE 510
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94612-3213
Practice Address - Country:US
Practice Address - Phone:510-444-7000
Practice Address - Fax:510-444-7000
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC25089111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor