Provider Demographics
NPI:1669409454
Name:DOBSON, TODD B (DC)
Entity type:Individual
Prefix:
First Name:TODD
Middle Name:B
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 1:6008 RINGGOLD RD
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37412-3828
Mailing Address - Country:US
Mailing Address - Phone:423-553-1111
Mailing Address - Fax:423-553-1100
Practice Address - Street 1:6008 RINGGOLD RD
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37412-3828
Practice Address - Country:US
Practice Address - Phone:423-553-1111
Practice Address - Fax:423-553-1100
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2011-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDC1950111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
4663102OtherCIGNA
TN4075324OtherBCBCS