MEDICARE: ROBIN JOSEPH I MED

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	101YP2500X	Professional Counselor	PC007951	PA

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	:	1740651785
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBIN JOSEPH I MED

Provider Business Mailing Address
First Line	:	1655 HEMLOCK RD
Second Line	:
City	:	CATAWISSA
State	:	PA
Zip	:	17820-8418
Country	:	US
Telephone Number	:	570-854-2528
Fax Number	:

Provider Business Practice Location Address
First Line	:	1000 MARKET ST STE 41
Second Line	:
City	:	BLOOMSBURG
State	:	PA
Zip	:	17815-2601
Country	:	US
Telephone Number	:	570-240-7112
Fax Number	:	570-543-4962

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

Provider Enumeration Date	:	10/16/2015
Last Update Date	:	06/16/2020

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