Provider Demographics
NPI:1891820528
Name:DOBOWEY, KATIE ANN (DC)
Entity Type:Individual
Prefix:DR
First Name:KATIE
Middle Name:ANN
Last Name:DOBOWEY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:KATIE
Other - Middle Name:ANN
Other - Last Name:BELLMONT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:268 2ND AVE S
Mailing Address - Street 2:
Mailing Address - City:WAITE PARK
Mailing Address - State:MN
Mailing Address - Zip Code:56387-2312
Mailing Address - Country:US
Mailing Address - Phone:320-202-8527
Mailing Address - Fax:320-202-1777
Practice Address - Street 1:268 2ND AVE S
Practice Address - Street 2:
Practice Address - City:WAITE PARK
Practice Address - State:MN
Practice Address - Zip Code:56387-2312
Practice Address - Country:US
Practice Address - Phone:320-202-8527
Practice Address - Fax:320-202-1777
Is Sole Proprietor?:No
Enumeration Date:2007-02-22
Last Update Date:2023-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN4436111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN350002959Medicare ID - Type UnspecifiedMEDICARE IDENTIFICATION
MNU94353Medicare UPIN