Provider Demographics
NPI:1922102490
Name:HOOD, ROBIN P (DC)
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:P
Last Name:HOOD
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 1:1122 BROADWAY STREET
Mailing Address - Street 2:
Mailing Address - City:CONCORDIA
Mailing Address - State:KS
Mailing Address - Zip Code:66901-4316
Mailing Address - Country:US
Mailing Address - Phone:785-243-4177
Mailing Address - Fax:785-243-4516
Practice Address - Street 1:1122 BROADWAY STREET
Practice Address - Street 2:
Practice Address - City:CONCORDIA
Practice Address - State:KS
Practice Address - Zip Code:66901-4316
Practice Address - Country:US
Practice Address - Phone:785-243-4177
Practice Address - Fax:785-243-4516
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-12
Last Update Date:2007-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS01-03237111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS062193Medicare PIN