Provider Demographics
NPI:1255571758
Name:DUBNER, SHARON (DC)
Entity type:Individual
Prefix:
First Name:SHARON
Middle Name:
Last Name:DUBNER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7337 BOLLINGER RD STE C
Mailing Address - Street 2:
Mailing Address - City:CUPERTINO
Mailing Address - State:CA
Mailing Address - Zip Code:95014-4329
Mailing Address - Country:US
Mailing Address - Phone:408-996-1042
Mailing Address - Fax:
Practice Address - Street 1:7337 BOLLINGER RD STE C
Practice Address - Street 2:
Practice Address - City:CUPERTINO
Practice Address - State:CA
Practice Address - Zip Code:95014-4329
Practice Address - Country:US
Practice Address - Phone:408-996-1042
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-02-24
Last Update Date:2009-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC17927111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor