Provider Demographics
NPI:1568437804
Name:ROBBINS, RICHARD HOWARD (DC)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:HOWARD
Last Name:ROBBINS
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 1:5301 GROVE ROAD
Mailing Address - Street 2:SUITE M 108 CASTE VILLAGE MALL
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15236
Mailing Address - Country:US
Mailing Address - Phone:412-885-3533
Mailing Address - Fax:412-885-3417
Practice Address - Street 1:5301 GROVE ROAD
Practice Address - Street 2:SUITE M 108 CASTE VILLAGE MALL
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15236
Practice Address - Country:US
Practice Address - Phone:412-885-3533
Practice Address - Fax:412-885-3417
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-21
Last Update Date:2013-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC007155L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PACA750881OtherBCBS
PA01689452Medicaid
PA01689452Medicaid
U69082Medicare UPIN