Provider Demographics
NPI:1477599595
Name:GOBBIE, THOMAS C (DC)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:C
Last Name:GOBBIE
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 1:2000 WATERDAM PLAZA DR
Mailing Address - Street 2:STE 260
Mailing Address - City:MC MURRAY
Mailing Address - State:PA
Mailing Address - Zip Code:15317-5411
Mailing Address - Country:US
Mailing Address - Phone:724-969-4242
Mailing Address - Fax:
Practice Address - Street 1:2000 WATERDAM PLAZA DR
Practice Address - Street 2:STE 260
Practice Address - City:MC MURRAY
Practice Address - State:PA
Practice Address - Zip Code:15317-5411
Practice Address - Country:US
Practice Address - Phone:724-969-4242
Practice Address - Fax:724-969-4244
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-20
Last Update Date:2016-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC-007028-L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA01915544Medicaid
PA217097OtherUPMC
PA911879OtherBLUE CROSS BLUE SHIELD
PA0069030001OtherCIGNA
PA2108975000OtherPERSONAL CHOICE
PA01915544Medicaid
PA0069030001OtherCIGNA