Provider Demographics
NPI:1033196027
Name:DOBELBOWER, STEPHEN Y (DC, DACBN)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:Y
Last Name:DOBELBOWER
Suffix:
Gender:M
Credentials:DC, DACBN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1201 US HIGHWAY 10 W STE A1
Mailing Address - Street 2:
Mailing Address - City:LIVINGSTON
Mailing Address - State:MT
Mailing Address - Zip Code:59047-9022
Mailing Address - Country:US
Mailing Address - Phone:406-222-9373
Mailing Address - Fax:406-222-4441
Practice Address - Street 1:1201 US HIGHWAY 10 W STE A1
Practice Address - Street 2:
Practice Address - City:LIVINGSTON
Practice Address - State:MT
Practice Address - Zip Code:59047-9022
Practice Address - Country:US
Practice Address - Phone:406-222-9373
Practice Address - Fax:406-222-4441
Is Sole Proprietor?:No
Enumeration Date:2005-12-29
Last Update Date:2010-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTMT 949CHI111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN1001XChiropractic ProvidersChiropractorNutrition
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT40103OtherBLUECROSS BLUESHIELD
MT350056105Medicare ID - Type UnspecifiedRAILROAD MEDICARE
MTU77756Medicare UPIN
MT000083846Medicare ID - Type UnspecifiedGROUP NUMBER
MTDG2913Medicare PIN
MT000004595Medicare ID - Type UnspecifiedINDIVIDUAL NUMBER