Provider Demographics
NPI:1003822297
Name:DOOLEY, JOANN (DC)
Entity Type:Individual
Prefix:DR
First Name:JOANN
Middle Name:
Last Name:DOOLEY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:JAN
Other - Middle Name:
Other - Last Name:DOOLEY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:1302 S SHIELDS ST STE A1-2
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80521-4801
Mailing Address - Country:US
Mailing Address - Phone:970-689-3230
Mailing Address - Fax:
Practice Address - Street 1:1302 S SHIELDS ST STE A1-2
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80521-4801
Practice Address - Country:US
Practice Address - Phone:970-689-3230
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-31
Last Update Date:2020-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA18222111N00000X, 111NI0900X, 111NS0005X
COCHR.0008008111NI0900X, 111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NI0900XChiropractic ProvidersChiropractorInternist
No111NS0005XChiropractic ProvidersChiropractorSports Physician