Provider Demographics
NPI:1467553024
Name:DOBSON LLC
Entity Type:Organization
Organization Name:DOBSON LLC
Other - Org Name:CHATTNOOGA CHIROPRACTIC CENTER OF EAST RIDGE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:TODD
Authorized Official - Middle Name:B
Authorized Official - Last Name:DOBSON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:423-553-1111
Mailing Address - Street 1:5611 RINGGOLD RD
Mailing Address - Street 2:STE185
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37412-3150
Mailing Address - Country:US
Mailing Address - Phone:423-553-1111
Mailing Address - Fax:423-553-1100
Practice Address - Street 1:5611 RINGGOLD RD
Practice Address - Street 2:STE185
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37412-3150
Practice Address - Country:US
Practice Address - Phone:423-553-1111
Practice Address - Fax:423-553-1100
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDC1950111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4075324OtherBLUE CROSS BLUE SHEILD
TN4663102OtherCIGNA
TN3973053Medicare ID - Type Unspecified