Healthcare Provider Details

I. General information

NPI: 1003871773
Provider Name (Legal Business Name): SCOTT V ROBINSON D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: SCOTT V ROBINSON DC

II. Dates (important events)

Enumeration Date: 04/18/2006
Last Update Date: 11/08/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1115 W LINCOLN AVE
IONIA MI
48846-1444
US

IV. Provider business mailing address

1115 W LINCOLN AVE
IONIA MI
48846-1444
US

V. Phone/Fax

Practice location:
  • Phone: 616-527-0707
  • Fax:
Mailing address:
  • Phone: 616-527-0707
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2301005076
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: