Provider Demographics
NPI:1073602496
Name:DUBNER, ALLEN (DC)
Entity Type:Individual
Prefix:
First Name:ALLEN
Middle Name:
Last Name:DUBNER
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 1:7337 BOLLINGER RD
Mailing Address - Street 2:SUITE C
Mailing Address - City:CUPERTINO
Mailing Address - State:CA
Mailing Address - Zip Code:95014-4354
Mailing Address - Country:US
Mailing Address - Phone:408-996-1042
Mailing Address - Fax:408-996-1859
Practice Address - Street 1:7337 BOLLINGER RD
Practice Address - Street 2:SUITE C
Practice Address - City:CUPERTINO
Practice Address - State:CA
Practice Address - Zip Code:95014-4354
Practice Address - Country:US
Practice Address - Phone:408-996-1042
Practice Address - Fax:408-996-1859
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC 17106111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor