Healthcare Provider Details

I. General information

NPI: 1760504724
Provider Name (Legal Business Name): BENJAMIN FRANCIS ROBINSON D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/03/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4919H DIXIE HIGHWAY
LOUISVILLE KY
40213
US

IV. Provider business mailing address

4919H DIXIE HIGHWAY
LOUISVILLE KY
40213
US

V. Phone/Fax

Practice location:
  • Phone: 502-448-8868
  • Fax: 502-448-8929
Mailing address:
  • Phone: 502-448-8868
  • Fax: 502-448-8929

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License Number4800
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: