Provider Demographics
NPI:1508256298
Name:THOMAS, ROBIN ERICH (DC)
Entity Type:Individual
Prefix:DR
First Name:ROBIN
Middle Name:ERICH
Last Name:THOMAS
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 1:415 N SEQUIM AVE
Mailing Address - Street 2:
Mailing Address - City:SEQUIM
Mailing Address - State:WA
Mailing Address - Zip Code:98382-3460
Mailing Address - Country:US
Mailing Address - Phone:360-504-3376
Mailing Address - Fax:360-504-3357
Practice Address - Street 1:415 N SEQUIM AVE
Practice Address - Street 2:
Practice Address - City:SEQUIM
Practice Address - State:WA
Practice Address - Zip Code:98382-3460
Practice Address - Country:US
Practice Address - Phone:360-504-3376
Practice Address - Fax:360-504-3357
Is Sole Proprietor?:No
Enumeration Date:2015-02-02
Last Update Date:2018-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH.60535610111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor