Provider Demographics
NPI:1932321064
Name:DOSS, RUBEN DANIEL (DC)
Entity Type:Individual
Prefix:DR
First Name:RUBEN
Middle Name:DANIEL
Last Name:DOSS
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 1:24308 FRONT STREET
Mailing Address - Street 2:
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:OH
Mailing Address - Zip Code:43522
Mailing Address - Country:US
Mailing Address - Phone:419-832-4405
Mailing Address - Fax:419-832-8012
Practice Address - Street 1:24308 FRONT STREET
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:OH
Practice Address - Zip Code:43522
Practice Address - Country:US
Practice Address - Phone:419-832-4405
Practice Address - Fax:419-832-8012
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-02
Last Update Date:2024-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH313111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor