Healthcare Provider Details

I. General information

NPI: 1760644520
Provider Name (Legal Business Name): ROBERT BENJAMIN POCUIS D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/01/2008
Last Update Date: 06/09/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3100 NW BUCKLIN HILL RD STE 105
SILVERDALE WA
98383-8359
US

IV. Provider business mailing address

PO BOX 5842
BREMERTON WA
98312-0600
US

V. Phone/Fax

Practice location:
  • Phone: 360-830-6596
  • Fax:
Mailing address:
  • Phone: 360-830-6596
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH60018199
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: