Provider Demographics
NPI:1710039136
Name:ROBINSON, YVETTE ELIZABETH (DC)
Entity Type:Individual
Prefix:
First Name:YVETTE
Middle Name:ELIZABETH
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:YVETTE
Other - Middle Name:ELIZABETH
Other - Last Name:ROBERTSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:113 BELCHER RD
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON
Mailing Address - State:ME
Mailing Address - Zip Code:04938-5713
Mailing Address - Country:US
Mailing Address - Phone:207-778-0600
Mailing Address - Fax:207-778-0700
Practice Address - Street 1:113 BELCHER RD
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:ME
Practice Address - Zip Code:04938-5713
Practice Address - Country:US
Practice Address - Phone:207-778-0600
Practice Address - Fax:207-778-0700
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECR1011111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME039585OtherBLUE CROSS AND BLUE SHIEL
ME039585OtherBLUE CROSS AND BLUE SHIEL