Provider Demographics
NPI:1588682264
Name:DORSETT, JOHN H (DC)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:H
Last Name:DORSETT
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 1:1002 N MALLARD
Mailing Address - Street 2:
Mailing Address - City:PALESTINE
Mailing Address - State:TX
Mailing Address - Zip Code:75801
Mailing Address - Country:US
Mailing Address - Phone:903-723-1500
Mailing Address - Fax:903-723-5331
Practice Address - Street 1:1002 N MALLARD
Practice Address - Street 2:
Practice Address - City:PALESTINE
Practice Address - State:TX
Practice Address - Zip Code:75801
Practice Address - Country:US
Practice Address - Phone:903-723-1500
Practice Address - Fax:903-723-5331
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2023-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX4980111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX603009Medicare ID - Type Unspecified