Provider Demographics
NPI:1497728521
Name:INDYK, ROBERT P (D C)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:P
Last Name:INDYK
Suffix:
Gender:M
Credentials:D C
Other - Prefix:DR
Other - First Name:ROBERT
Other - Middle Name:P
Other - Last Name:INDYK
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:184 NORTHAMPTON ST
Mailing Address - Street 2:SUITE H
Mailing Address - City:EASTHAMPTON
Mailing Address - State:MA
Mailing Address - Zip Code:01027-1049
Mailing Address - Country:US
Mailing Address - Phone:413-527-6675
Mailing Address - Fax:413-527-6675
Practice Address - Street 1:184 NORTHAMPTON ST
Practice Address - Street 2:SUITE H
Practice Address - City:EASTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01027-1049
Practice Address - Country:US
Practice Address - Phone:413-527-6675
Practice Address - Fax:413-527-6675
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MACH311111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAY35035Medicare ID - Type Unspecified
MAT57961Medicare UPIN