Provider Demographics
NPI:1639173305
Name:DOROBISH, JOHN NICHOLAS (DC)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:NICHOLAS
Last Name:DOROBISH
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 1:525 CHERRY TREE LN
Mailing Address - Street 2:
Mailing Address - City:UNIONTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15401-8915
Mailing Address - Country:US
Mailing Address - Phone:724-434-5755
Mailing Address - Fax:724-434-5576
Practice Address - Street 1:525 CHERRY TREE LN
Practice Address - Street 2:
Practice Address - City:UNIONTOWN
Practice Address - State:PA
Practice Address - Zip Code:15401-8915
Practice Address - Country:US
Practice Address - Phone:724-434-5755
Practice Address - Fax:724-434-5576
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-09
Last Update Date:2021-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC004648L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAU13015Medicare UPIN
PADO651061Medicare ID - Type Unspecified