Healthcare Provider Details

I. General information

NPI: 1861412181
Provider Name (Legal Business Name): ROBIN RENE HINCHMAN DC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/20/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4213 DALE RD STE 1
MODESTO CA
95356-8505
US

IV. Provider business mailing address

PO BOX 577072
MODESTO CA
95357-7072
US

V. Phone/Fax

Practice location:
  • Phone: 209-543-7400
  • Fax: 209-543-7403
Mailing address:
  • Phone: 209-765-5737
  • Fax: 209-543-7403

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number24409
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC24409
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: