MEDICARE: ROBYN K RASKIN PC

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	111N00000X	Chiropractor	AO5813	IA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1215267612
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROBYN K RASKIN PC

Provider Business Mailing Address
First Line	:	4018 FLOYD BLVD
Second Line	:
City	:	SIOUX CITY
State	:	IA
Zip	:	51108-1502
Country	:	US
Telephone Number	:	712-239-1284
Fax Number	:

Provider Business Practice Location Address
First Line	:	4018 FLOYD BLVD
Second Line	:
City	:	SIOUX CITY
State	:	IA
Zip	:	51108-1502
Country	:	US
Telephone Number	:	712-239-1284
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ROBYN KAYE RASKIN-CRARY
Credential	:	DC
Telephone Number	:	712-239-1284

Provider Enumeration Date	:	01/06/2010
Last Update Date	:	01/06/2010

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