Provider Demographics
NPI:1043350051
Name:RESNICK, ROBERT ALAN (DC)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:ALAN
Last Name:RESNICK
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 1:338 MERRIMON AVE
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-1222
Mailing Address - Country:US
Mailing Address - Phone:828-255-8333
Mailing Address - Fax:828-255-0025
Practice Address - Street 1:338 MERRIMON AVE
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-1222
Practice Address - Country:US
Practice Address - Phone:828-255-8333
Practice Address - Fax:828-255-0025
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-07
Last Update Date:2008-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1050111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC08758OtherBCBS
NC8908758Medicaid
NC8908758Medicaid
NC244312Medicare ID - Type Unspecified
NC08758OtherBCBS