Provider Demographics
NPI:1295972636
Name:ROBERT EDWARD MONOKIAN PC
Entity type:Organization
Organization Name:ROBERT EDWARD MONOKIAN PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JEANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:MONOKIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:340-719-4444
Mailing Address - Street 1:2006 EASTERN SUBURB STE 4
Mailing Address - Street 2:
Mailing Address - City:CHRISTIANSTED
Mailing Address - State:VI
Mailing Address - Zip Code:00820-5090
Mailing Address - Country:US
Mailing Address - Phone:340-719-4444
Mailing Address - Fax:340-719-4445
Practice Address - Street 1:2006 EASTERN SUBURB STE 4
Practice Address - Street 2:
Practice Address - City:CHRISTIANSTED
Practice Address - State:VI
Practice Address - Zip Code:00820-5090
Practice Address - Country:US
Practice Address - Phone:340-719-4444
Practice Address - Fax:340-719-4445
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-07
Last Update Date:2011-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VIVI28111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NS0005XChiropractic ProvidersChiropractorSports PhysicianGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VIT44551Medicare UPIN