MEDICARE: ROBERT EDWARD MONOKIAN 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	111NS0005X	Sports Physician Chiropractor	VI28	VI

General Provider Information

NPI Number	:	1295972636
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROBERT EDWARD MONOKIAN PC

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

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

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	JEANNE MONOKIAN
Credential	:
Telephone Number	:	340-719-4444

Provider Enumeration Date	:	01/07/2009
Last Update Date	:	12/28/2011

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