MEDICARE: RICHARD M ROBERT DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	A05387	IA

General Provider Information

NPI Number	:	1912087719
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICHARD M ROBERT DC

Provider Business Mailing Address
First Line	:	705 N MAIN ST STE 1
Second Line	:
City	:	CHARLES CITY
State	:	IA
Zip	:	50616-2125
Country	:	US
Telephone Number	:	641-228-2810
Fax Number	:	641-228-2810

Provider Business Practice Location Address
First Line	:	705 N MAIN ST STE 1
Second Line	:
City	:	CHARLES CITY
State	:	IA
Zip	:	50616-2125
Country	:	US
Telephone Number	:	641-228-2810
Fax Number	:	641-228-2810

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/16/2006
Last Update Date	:	07/09/2021

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Directions to “ RICHARD M ROBERT DC” Practice Location

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