Provider Demographics
NPI:1679687198
Name:BOBBITT, DEBORAH A (DC)
Entity Type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:A
Last Name:BOBBITT
Suffix:
Gender:F
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:RR 2 BOX 11230
Mailing Address - Street 2:
Mailing Address - City:KINGSHILL
Mailing Address - State:VI
Mailing Address - Zip Code:00850-9618
Mailing Address - Country:US
Mailing Address - Phone:340-772-2225
Mailing Address - Fax:340-772-5900
Practice Address - Street 1:RR 2 BOX 11230
Practice Address - Street 2:
Practice Address - City:KINGSHILL
Practice Address - State:VI
Practice Address - Zip Code:00850-9618
Practice Address - Country:US
Practice Address - Phone:340-772-2225
Practice Address - Fax:340-772-5900
Is Sole Proprietor?:No
Enumeration Date:2006-08-19
Last Update Date:2014-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VI00037111N00000X
VA0104001056111N00000X
GACHIR007740111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA463144Medicare ID - Type Unspecified