Provider Demographics
NPI:1114107158
Name:DR JULIE ROBINSON LLC
Entity Type:Organization
Organization Name:DR JULIE ROBINSON LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:A
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:765-478-3503
Mailing Address - Street 1:105 E DELAWARE ST
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE CITY
Mailing Address - State:IN
Mailing Address - Zip Code:47327-1332
Mailing Address - Country:US
Mailing Address - Phone:765-478-3503
Mailing Address - Fax:765-478-5327
Practice Address - Street 1:105 E DELAWARE ST
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE CITY
Practice Address - State:IN
Practice Address - Zip Code:47327-1332
Practice Address - Country:US
Practice Address - Phone:765-478-3503
Practice Address - Fax:765-478-5327
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-07
Last Update Date:2010-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NI0013XChiropractic ProvidersChiropractorIndependent Medical ExaminerGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN100256460Medicaid
IN233640Medicare PIN