Provider Demographics
NPI:1578663860
Name:COHL, ROBIN P (DC)
Entity Type:Individual
Prefix:DR
First Name:ROBIN
Middle Name:P
Last Name:COHL
Suffix:
Gender:F
Credentials:DC
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Mailing Address - Street 1:1411 MADISON PARK DR
Mailing Address - Street 2:SUITE 1A
Mailing Address - City:GLEN BURNIE
Mailing Address - State:MD
Mailing Address - Zip Code:21061-5613
Mailing Address - Country:US
Mailing Address - Phone:410-760-6443
Mailing Address - Fax:410-760-6612
Practice Address - Street 1:1411 MADISON PARK DR
Practice Address - Street 2:SUITE 1A
Practice Address - City:GLEN BURNIE
Practice Address - State:MD
Practice Address - Zip Code:21061-5613
Practice Address - Country:US
Practice Address - Phone:410-760-6443
Practice Address - Fax:410-760-6612
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-25
Last Update Date:2020-08-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MD01723111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDT89602Medicare UPIN