Provider Demographics
NPI:1437896610
Name:CHUBINSKY, ROBYN (LAC)
Entity Type:Individual
Prefix:
First Name:ROBYN
Middle Name:
Last Name:CHUBINSKY
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5447 N BLACK CANYON HWY
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85015-2228
Mailing Address - Country:US
Mailing Address - Phone:858-500-6417
Mailing Address - Fax:
Practice Address - Street 1:3030 N LITCHFIELD RD
Practice Address - Street 2:
Practice Address - City:GOODYEAR
Practice Address - State:AZ
Practice Address - Zip Code:85395-7803
Practice Address - Country:US
Practice Address - Phone:623-777-4555
Practice Address - Fax:623-242-5755
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-18
Last Update Date:2022-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLAC-011378171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist