Provider Demographics
NPI:1326582677
Name:ROBYN BEECHUK
Entity Type:Organization
Organization Name:ROBYN BEECHUK
Other - Org Name:ROBYN'S WELLNESS
Other - Org Type:Other Name
Authorized Official - Title/Position:REGISTERED DIETITIAN
Authorized Official - Prefix:
Authorized Official - First Name:ROBYN
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:BEECHUK
Authorized Official - Suffix:
Authorized Official - Credentials:MPH, RD, LDN
Authorized Official - Phone:484-569-2491
Mailing Address - Street 1:1206 JACKSON DR
Mailing Address - Street 2:
Mailing Address - City:DOWNINGTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19335-3801
Mailing Address - Country:US
Mailing Address - Phone:484-569-2491
Mailing Address - Fax:
Practice Address - Street 1:1206 JACKSON DR
Practice Address - Street 2:
Practice Address - City:DOWNINGTOWN
Practice Address - State:PA
Practice Address - Zip Code:19335-3801
Practice Address - Country:US
Practice Address - Phone:484-569-2491
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-06
Last Update Date:2016-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADN005258133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty