Provider Demographics
NPI:1518405562
Name:DOBSCH CHIROPRACTIC AND FAMILY WELLNESS, LLC
Entity Type:Organization
Organization Name:DOBSCH CHIROPRACTIC AND FAMILY WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRIMARY CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SAMANTHA
Authorized Official - Middle Name:LEE ROSE
Authorized Official - Last Name:DOBSCH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:636-229-1825
Mailing Address - Street 1:200 S TWO ST
Mailing Address - Street 2:
Mailing Address - City:MARTHASVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:63357-4029
Mailing Address - Country:US
Mailing Address - Phone:636-390-1878
Mailing Address - Fax:636-283-6260
Practice Address - Street 1:200 S TWO ST
Practice Address - Street 2:
Practice Address - City:MARTHASVILLE
Practice Address - State:MO
Practice Address - Zip Code:63357-4029
Practice Address - Country:US
Practice Address - Phone:636-229-1825
Practice Address - Fax:636-283-6260
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-09
Last Update Date:2023-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2017001188261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service