Healthcare Provider Details

I. General information

NPI: 1528082005
Provider Name (Legal Business Name): ROBIN LYNN HOHORST D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/27/2006
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

60 FERNDALE RD
EASTON CT
06612-1936
US

IV. Provider business mailing address

60 FERNDALE DRIVE
EASTON CT
06612
US

V. Phone/Fax

Practice location:
  • Phone: 203-373-0003
  • Fax: 203-373-0018
Mailing address:
  • Phone: 203-373-0003
  • Fax: 203-373-0018

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number000572
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: