Healthcare Provider Details

I. General information

NPI: 1013013143
Provider Name (Legal Business Name): JONATHAN T ROBINSON DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/16/2006
Last Update Date: 05/11/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12205 COUNTY LINE RD SUITE D
MADISON AL
35758-7719
US

IV. Provider business mailing address

2010 S POINT PARK CIR APT 150
HUNTSVILLE AL
35801-5479
US

V. Phone/Fax

Practice location:
  • Phone: 256-461-7775
  • Fax: 256-461-7756
Mailing address:
  • Phone: 256-461-7775
  • Fax: 256-461-7756

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License Number1847
License Number StateAL
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number1847
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: