Provider Demographics
NPI:1710066949
Name:DOBRAN, CHRISTINE L (DC)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:L
Last Name:DOBRAN
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 1:3205 WILMINGTON PIKE
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45429-4021
Mailing Address - Country:US
Mailing Address - Phone:937-294-2225
Mailing Address - Fax:937-294-5545
Practice Address - Street 1:3205 WILMINGTON PIKE
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45429-4021
Practice Address - Country:US
Practice Address - Phone:937-294-2225
Practice Address - Fax:937-294-5545
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-06
Last Update Date:2022-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2815111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2181062Medicaid
CH9315831Medicare ID - Type Unspecified