Provider Demographics
NPI:1205913522
Name:GOBBIE, DAVID PAUL (DC)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:PAUL
Last Name:GOBBIE
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 1:850 CLAIRTON BLVD
Mailing Address - Street 2:SUITE 3200
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15236-4567
Mailing Address - Country:US
Mailing Address - Phone:412-466-4930
Mailing Address - Fax:412-466-8274
Practice Address - Street 1:850 CLAIRTON BLVD
Practice Address - Street 2:SUITE 3200
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15236-4567
Practice Address - Country:US
Practice Address - Phone:412-466-4930
Practice Address - Fax:412-466-8274
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC009304111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1726246OtherBLUE CROSS/BLUE SHIELD
PA1725132OtherBLUE CROSS/BLUE SHIELD
PA355395OtherHEALTH AMERICA/ASSURANCE
PA6212543OtherCIGNA
PA355395OtherHEALTH AMERICA/ASSURANCE
PA6212543OtherCIGNA