Provider Demographics
NPI:1790074086
Name:JOHN H DORSETT D.C., P.C.
Entity Type:Organization
Organization Name:JOHN H DORSETT D.C., P.C.
Other - Org Name:PALESTINE CHIROPRACTIC CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:HOWARD
Authorized Official - Last Name:DORSETT
Authorized Official - Suffix:
Authorized Official - Credentials:DC, PC
Authorized Official - Phone:903-723-1500
Mailing Address - Street 1:1002 N MALLARD ST
Mailing Address - Street 2:
Mailing Address - City:PALESTINE
Mailing Address - State:TX
Mailing Address - Zip Code:75801-7757
Mailing Address - Country:US
Mailing Address - Phone:903-723-1500
Mailing Address - Fax:903-723-5331
Practice Address - Street 1:1002 N MALLARD ST
Practice Address - Street 2:
Practice Address - City:PALESTINE
Practice Address - State:TX
Practice Address - Zip Code:75801-7757
Practice Address - Country:US
Practice Address - Phone:903-723-1500
Practice Address - Fax:903-723-5331
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-07
Last Update Date:2012-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX4890111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty