Provider Demographics
NPI:1811068216
Name:TURK, ROBERT K (DC)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:K
Last Name:TURK
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 1:211 S 4TH ST
Mailing Address - Street 2:
Mailing Address - City:EUNICE
Mailing Address - State:LA
Mailing Address - Zip Code:70535-4503
Mailing Address - Country:US
Mailing Address - Phone:337-457-2255
Mailing Address - Fax:337-457-2255
Practice Address - Street 1:211 S 4TH ST
Practice Address - Street 2:
Practice Address - City:EUNICE
Practice Address - State:LA
Practice Address - Zip Code:70535-4503
Practice Address - Country:US
Practice Address - Phone:337-457-2255
Practice Address - Fax:337-457-2255
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-10
Last Update Date:2008-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1104111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
LANPPOOOMedicare UPIN
LA5X207Medicare PIN