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NPI Code Detail

MEDICARE: DR. ROBERT W WALENTIN DC

MEDICARE:  DR. ROBERT W WALENTIN  DC
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
1111N00000XChiropractor008156NY
2111N00000XChiropractor104001575VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
17140870OTHERNYCIGNA
210071122OTHERNYCDPHP
3101226OTHERNYLOCAL 825
4X09Q61OTHERNYEMPIRE BC/BS
50111208OTHERNYGHI
6514930OTHERNYPHCS
784881OTHERNYGHI HMO
8917178OTHERNYAETNA
9C081564OTHERNYWORKERS COMPENSATION

General Provider Information

NPI Number : 1285624965
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERT W WALENTIN DC
Provider Business Mailing Address
First Line : 1891 BILLINGSGATE CIR STE B
Second Line :
City : HENRICO
State : VA
Zip : 23238-4242
Country : US
Telephone Number : 845-591-8099
Fax Number :
Provider Business Practice Location Address
First Line : 1891 BILLINGSGATE CIR STE B
Second Line :
City : HENRICO
State : VA
Zip : 23238-4242
Country : US
Telephone Number : 845-591-8099
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/25/2005
Last Update Date : 03/12/2019

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Directions to “ DR. ROBERT W WALENTIN DC” Practice Location

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