Provider Demographics
NPI:1942295324
Name:ATKINSON-DORNHOEFER, SABRINA (DO)
Entity Type:Individual
Prefix:DR
First Name:SABRINA
Middle Name:
Last Name:ATKINSON-DORNHOEFER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:520 S 7TH ST
Mailing Address - Street 2:
Mailing Address - City:VINCENNES
Mailing Address - State:IN
Mailing Address - Zip Code:47591-1038
Mailing Address - Country:US
Mailing Address - Phone:812-885-3810
Mailing Address - Fax:812-885-3811
Practice Address - Street 1:520 S 7TH ST
Practice Address - Street 2:
Practice Address - City:VINCENNES
Practice Address - State:IN
Practice Address - Zip Code:47591-1038
Practice Address - Country:US
Practice Address - Phone:812-885-3810
Practice Address - Fax:812-885-3811
Is Sole Proprietor?:No
Enumeration Date:2005-09-13
Last Update Date:2015-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN02002203A208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000112883OtherANTHEM
IN200022500Medicaid
INH29437Medicare UPIN
IN200022500Medicaid