Provider Demographics
NPI:1326162645
Name:DOLBERG, STEVEN DONALD (DC)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:DONALD
Last Name:DOLBERG
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 1:8043 W OAKLAND PARK BLVD
Mailing Address - Street 2:
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33351-1116
Mailing Address - Country:US
Mailing Address - Phone:954-742-7066
Mailing Address - Fax:954-741-9507
Practice Address - Street 1:8043 W OAKLAND PARK BLVD
Practice Address - Street 2:
Practice Address - City:SUNRISE
Practice Address - State:FL
Practice Address - Zip Code:33351-1116
Practice Address - Country:US
Practice Address - Phone:954-742-7066
Practice Address - Fax:954-741-9507
Is Sole Proprietor?:No
Enumeration Date:2007-03-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH2892111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL88385Medicare ID - Type Unspecified