Provider Demographics
NPI:1598453581
Name:DAUBE, ERIN K (DC)
Entity Type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:K
Last Name:DAUBE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:MRS
Other - First Name:ERIN
Other - Middle Name:K
Other - Last Name:MCQUEEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:4600 W LOOMIS RD STE 110
Mailing Address - Street 2:
Mailing Address - City:GREENFIELD
Mailing Address - State:WI
Mailing Address - Zip Code:53220-4858
Mailing Address - Country:US
Mailing Address - Phone:414-321-2773
Mailing Address - Fax:
Practice Address - Street 1:4600 W LOOMIS RD STE 110
Practice Address - Street 2:
Practice Address - City:GREENFIELD
Practice Address - State:WI
Practice Address - Zip Code:53220-4858
Practice Address - Country:US
Practice Address - Phone:414-321-2773
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-27
Last Update Date:2023-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI5289-12111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor