Provider Demographics
NPI:1144403585
Name:DOUDNA, NATHAN JOHN (DC)
Entity Type:Individual
Prefix:DR
First Name:NATHAN
Middle Name:JOHN
Last Name:DOUDNA
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 1:290 E BELL AVE
Mailing Address - Street 2:ANDERSON CHIROPRACTIC
Mailing Address - City:MCCONNELSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43756
Mailing Address - Country:US
Mailing Address - Phone:740-962-5700
Mailing Address - Fax:740-962-6093
Practice Address - Street 1:290 E BELL AVE
Practice Address - Street 2:ANDERSON CHIROPRACTIC
Practice Address - City:MCCONNELSVILLE
Practice Address - State:OH
Practice Address - Zip Code:43756
Practice Address - Country:US
Practice Address - Phone:740-962-5700
Practice Address - Fax:740-962-6093
Is Sole Proprietor?:No
Enumeration Date:2007-12-07
Last Update Date:2012-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2439111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2350450Medicaid
U68752Medicare UPIN
D00835202Medicare PIN