Provider Demographics
NPI:1235282179
Name:DOBSON, DAVID J (DC, DABCO, DACBN,)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:J
Last Name:DOBSON
Suffix:
Gender:M
Credentials:DC, DABCO, DACBN,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 1ST ST. NW
Mailing Address - Street 2:
Mailing Address - City:DE SMET
Mailing Address - State:SD
Mailing Address - Zip Code:57231
Mailing Address - Country:US
Mailing Address - Phone:605-854-9141
Mailing Address - Fax:605-854-3351
Practice Address - Street 1:102 1ST ST. NW
Practice Address - Street 2:
Practice Address - City:DE SMET
Practice Address - State:SD
Practice Address - Zip Code:57231
Practice Address - Country:US
Practice Address - Phone:605-854-9141
Practice Address - Fax:605-854-3351
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD611111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedic