Provider Demographics
NPI:1023341039
Name:ROBINSON, DANIEL SCOTT (DC)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:SCOTT
Last Name:ROBINSON
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 PENN PLAZA
Mailing Address - Street 2:SUITE 22
Mailing Address - City:BANGOR
Mailing Address - State:ME
Mailing Address - Zip Code:04401
Mailing Address - Country:US
Mailing Address - Phone:207-947-8077
Mailing Address - Fax:207-947-3721
Practice Address - Street 1:16 PENN PLZ
Practice Address - Street 2:SUITE 22
Practice Address - City:BANGOR
Practice Address - State:ME
Practice Address - Zip Code:04401-3620
Practice Address - Country:US
Practice Address - Phone:207-947-8077
Practice Address - Fax:207-947-3721
Is Sole Proprietor?:No
Enumeration Date:2009-09-09
Last Update Date:2019-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECR1916111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor