Provider Demographics
NPI:1508003682
Name:STROHBACH, ROBERT I (DC)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:I
Last Name:STROHBACH
Suffix:
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 1:9673 SIERRA AVE
Mailing Address - Street 2:STE A
Mailing Address - City:FONTANA
Mailing Address - State:CA
Mailing Address - Zip Code:92335-2424
Mailing Address - Country:US
Mailing Address - Phone:909-829-8722
Mailing Address - Fax:909-829-4403
Practice Address - Street 1:9673 SIERRA AVE
Practice Address - Street 2:STE A
Practice Address - City:FONTANA
Practice Address - State:CA
Practice Address - Zip Code:92335-2424
Practice Address - Country:US
Practice Address - Phone:909-829-8722
Practice Address - Fax:909-829-4403
Is Sole Proprietor?:No
Enumeration Date:2009-01-12
Last Update Date:2009-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC18969111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor