Provider Demographics
NPI:1801917042
Name:ROBBINS, JOEL R (DC)
Entity type:Individual
Prefix:DR
First Name:JOEL
Middle Name:R
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 1:4755 E. 91ST ST
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74137-2804
Mailing Address - Country:US
Mailing Address - Phone:918-488-0444
Mailing Address - Fax:918-488-0470
Practice Address - Street 1:4755 E 91ST ST
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74137-2804
Practice Address - Country:US
Practice Address - Phone:918-488-0444
Practice Address - Fax:918-488-0470
Is Sole Proprietor?:No
Enumeration Date:2007-04-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK2006111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN1001XChiropractic ProvidersChiropractorNutrition