Provider Demographics
NPI:1487824355
Name:MONK, ROBERT E III (DC)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:E
Last Name:MONK
Suffix:III
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 1:842 DURHAM RD STE 6
Mailing Address - Street 2:
Mailing Address - City:NEWTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18940-9680
Mailing Address - Country:US
Mailing Address - Phone:215-598-7103
Mailing Address - Fax:
Practice Address - Street 1:842 DURHAM RD STE 6
Practice Address - Street 2:
Practice Address - City:NEWTOWN
Practice Address - State:PA
Practice Address - Zip Code:18940-9680
Practice Address - Country:US
Practice Address - Phone:215-598-7103
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-07
Last Update Date:2008-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPADC0029491111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA034378Medicare PIN