Provider Demographics
NPI:1558587535
Name:DUBYAK, DAVID ALLAN (DC)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:ALLAN
Last Name:DUBYAK
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 1:2445 GREENBORO ST
Mailing Address - Street 2:
Mailing Address - City:TURLOCK
Mailing Address - State:CA
Mailing Address - Zip Code:95382-1433
Mailing Address - Country:US
Mailing Address - Phone:209-634-6223
Mailing Address - Fax:
Practice Address - Street 1:3008 GEER RD
Practice Address - Street 2:
Practice Address - City:TURLOCK
Practice Address - State:CA
Practice Address - Zip Code:95382-1117
Practice Address - Country:US
Practice Address - Phone:209-668-1944
Practice Address - Fax:209-668-4226
Is Sole Proprietor?:No
Enumeration Date:2007-04-18
Last Update Date:2008-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA19104111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC0191041OtherMEDICARE PTAN
CAP00177960OtherRAILROAD MEDICARE PTAN
CAZZZ06697ZOtherBLUESHIELD PIN