Provider Demographics
NPI:1508929977
Name:ROBB, DANIEL KING (DC)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:KING
Last Name:ROBB
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 1:100 RIVER PL
Mailing Address - Street 2:SUITE 210
Mailing Address - City:MONONA
Mailing Address - State:WI
Mailing Address - Zip Code:53716-4041
Mailing Address - Country:US
Mailing Address - Phone:608-222-7731
Mailing Address - Fax:608-222-7753
Practice Address - Street 1:100 RIVER PL
Practice Address - Street 2:SUITE 210
Practice Address - City:MONONA
Practice Address - State:WI
Practice Address - Zip Code:53716-4041
Practice Address - Country:US
Practice Address - Phone:608-222-7731
Practice Address - Fax:608-222-7753
Is Sole Proprietor?:No
Enumeration Date:2006-12-18
Last Update Date:2012-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1853111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI35151Medicare ID - Type Unspecified