Provider Demographics
NPI:1033189618
Name:DOEBLER, VALERIE LYNNE (DC)
Entity Type:Individual
Prefix:
First Name:VALERIE
Middle Name:LYNNE
Last Name:DOEBLER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:460 MARKET ST
Mailing Address - Street 2:STE 227
Mailing Address - City:WILLIAMSPORT
Mailing Address - State:PA
Mailing Address - Zip Code:17701-6322
Mailing Address - Country:US
Mailing Address - Phone:570-322-2500
Mailing Address - Fax:570-322-2244
Practice Address - Street 1:460 MARKET ST
Practice Address - Street 2:STE 227
Practice Address - City:WILLIAMSPORT
Practice Address - State:PA
Practice Address - Zip Code:17701-6322
Practice Address - Country:US
Practice Address - Phone:570-322-2500
Practice Address - Fax:570-322-2244
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC006940L111N00000X
PAAJ006940L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAD0969513OtherPA BLUE SHIELD
PA807263OtherFIRST PRIORITY HEALTH
U68394Medicare UPIN
PAD0969513OtherPA BLUE SHIELD