Provider Demographics
NPI:1679116842
Name:DOBBINS, MARCUS (DC)
Entity Type:Individual
Prefix:DR
First Name:MARCUS
Middle Name:
Last Name:DOBBINS
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 1:6880 SCRATCHGRAVEL DR
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59602-9348
Mailing Address - Country:US
Mailing Address - Phone:406-594-4565
Mailing Address - Fax:
Practice Address - Street 1:62 S LAST CHANCE GULCH STE A
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59601-4149
Practice Address - Country:US
Practice Address - Phone:406-594-4565
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-21
Last Update Date:2019-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTCHI-CHI-LIC-6123111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor