Provider Demographics
NPI:1528029915
Name:ROBINSON, MICHAEL THOMAS (DC)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:THOMAS
Last Name:ROBINSON
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 1:554 W CENTRAL AVE STE 4
Mailing Address - Street 2:
Mailing Address - City:DELAWARE
Mailing Address - State:OH
Mailing Address - Zip Code:43015-1499
Mailing Address - Country:US
Mailing Address - Phone:740-369-2225
Mailing Address - Fax:740-369-2226
Practice Address - Street 1:554 W CENTRAL AVE STE 4
Practice Address - Street 2:
Practice Address - City:DELAWARE
Practice Address - State:OH
Practice Address - Zip Code:43015-1499
Practice Address - Country:US
Practice Address - Phone:740-369-2225
Practice Address - Fax:740-369-2226
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-28
Last Update Date:2023-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2872111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH4011501Medicare PIN