MEDICARE: ROBIN LYNN HOHORST 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	111N00000X	Chiropractor	000572	CT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	648904	OTHER	CT	ACN
2	050000572CT01	OTHER	CT	BC/BS
3	002125	OTHER	CT	HEALTH NET
4	1386444003	OTHER	CT	CIGNA
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1528082005
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBIN LYNN HOHORST D.C.

Provider Business Mailing Address
First Line	:	60 FERNDALE DRIVE
Second Line	:
City	:	EASTON
State	:	CT
Zip	:	06612
Country	:	US
Telephone Number	:	203-373-0003
Fax Number	:	203-373-0018

Provider Business Practice Location Address
First Line	:	60 FERNDALE RD
Second Line	:
City	:	EASTON
State	:	CT
Zip	:	06612-1936
Country	:	US
Telephone Number	:	203-373-0003
Fax Number	:	203-373-0018

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

Provider Enumeration Date	:	07/27/2006
Last Update Date	:	07/09/2007

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