MEDICARE: DR. ROBERT EDWARD MONOKIAN D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111NS0005X	Sports Physician Chiropractor	28	VI

General Provider Information

NPI Number	:	1073510749
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT EDWARD MONOKIAN D.C.

Provider Business Mailing Address
First Line	:	2006 EASTERN SUBURB STE 4
Second Line	:
City	:	CHRISTIANSTED
State	:	VI
Zip	:	00820-5090
Country	:	US
Telephone Number	:	340-719-1405
Fax Number	:	340-719-4445

Provider Business Practice Location Address
First Line	:	2006 EASTERN SUBURB
Second Line	:	SUITE 4
City	:	CHRISTIANSTED
State	:	VI
Zip	:	00820-5090
Country	:	US
Telephone Number	:	340-719-4444
Fax Number	:	340-719-4445

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/07/2005
Last Update Date	:	02/20/2013

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