Provider Demographics
NPI:1598113458
Name:DOBBIN, ZACHARY CHRISTOPHER (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:ZACHARY
Middle Name:CHRISTOPHER
Last Name:DOBBIN
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10215 BROADWAY STE 207
Mailing Address - Street 2:
Mailing Address - City:CROWN POINT
Mailing Address - State:IN
Mailing Address - Zip Code:46307-8001
Mailing Address - Country:US
Mailing Address - Phone:219-661-6171
Mailing Address - Fax:219-703-6836
Practice Address - Street 1:10215 BROADWAY STE 207
Practice Address - Street 2:
Practice Address - City:CROWN POINT
Practice Address - State:IN
Practice Address - Zip Code:46307-8001
Practice Address - Country:US
Practice Address - Phone:219-661-6171
Practice Address - Fax:219-703-6836
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-01
Last Update Date:2021-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL125.068903207V00000X
IL036150107207V00000X
IN01084057A207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology