Provider Demographics
NPI:1598309924
Name:ROBINSON CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:ROBINSON CHIROPRACTIC LLC
Other - Org Name:ROBINSON CHIROPRACTIC & REHAB CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:
Authorized Official - Last Name:RUDE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-607-6105
Mailing Address - Street 1:15 MERIDIAN CT STE 1
Mailing Address - Street 2:
Mailing Address - City:KALISPELL
Mailing Address - State:MT
Mailing Address - Zip Code:59901-4245
Mailing Address - Country:US
Mailing Address - Phone:406-607-6105
Mailing Address - Fax:406-607-6106
Practice Address - Street 1:15 MERIDIAN CT STE 1
Practice Address - Street 2:
Practice Address - City:KALISPELL
Practice Address - State:MT
Practice Address - Zip Code:59901-4245
Practice Address - Country:US
Practice Address - Phone:406-607-6105
Practice Address - Fax:406-607-6106
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-29
Last Update Date:2019-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty