Provider Demographics
NPI:1689657272
Name:STOBINSKI, ALAN W (DC)
Entity Type:Individual
Prefix:MR
First Name:ALAN
Middle Name:W
Last Name:STOBINSKI
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 1:119 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SWANTON
Mailing Address - State:OH
Mailing Address - Zip Code:43558-1031
Mailing Address - Country:US
Mailing Address - Phone:419-826-8866
Mailing Address - Fax:419-826-7290
Practice Address - Street 1:119 N MAIN ST
Practice Address - Street 2:
Practice Address - City:SWANTON
Practice Address - State:OH
Practice Address - Zip Code:43558-1031
Practice Address - Country:US
Practice Address - Phone:419-826-8866
Practice Address - Fax:419-826-7290
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-28
Last Update Date:2011-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2876111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHU65585Medicare UPIN
OHST4022501Medicare ID - Type UnspecifiedMEDICARE