Provider Demographics
NPI:1891980132
Name:DOBSON, THOMAS P (DC)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:P
Last Name:DOBSON
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 1:19 HERITAGE OAKS LN
Mailing Address - Street 2:
Mailing Address - City:BLUE HILL
Mailing Address - State:ME
Mailing Address - Zip Code:04614-5971
Mailing Address - Country:US
Mailing Address - Phone:207-374-5787
Mailing Address - Fax:
Practice Address - Street 1:19 HERITAGE OAKS LN
Practice Address - Street 2:
Practice Address - City:BLUE HILL
Practice Address - State:ME
Practice Address - Zip Code:04614-5971
Practice Address - Country:US
Practice Address - Phone:207-374-5787
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-10
Last Update Date:2007-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECR1478111N00000X, 111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NS0005XChiropractic ProvidersChiropractorSports Physician