Provider Demographics
NPI:1700883238
Name:ORSBURN, DOROTHY ELIZABETH (MD)
Entity Type:Individual
Prefix:DR
First Name:DOROTHY
Middle Name:ELIZABETH
Last Name:ORSBURN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 215
Mailing Address - Street 2:
Mailing Address - City:LIVINGSTON
Mailing Address - State:TN
Mailing Address - Zip Code:38570-0215
Mailing Address - Country:US
Mailing Address - Phone:931-823-7409
Mailing Address - Fax:931-823-9347
Practice Address - Street 1:406 W 1ST ST
Practice Address - Street 2:SUITE A
Practice Address - City:LIVINGSTON
Practice Address - State:TN
Practice Address - Zip Code:38570-1468
Practice Address - Country:US
Practice Address - Phone:931-823-7409
Practice Address - Fax:931-823-9347
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN39790208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3330195Medicare ID - Type Unspecified
TN3730045Medicare ID - Type UnspecifiedGROUP MEDICARE NUMBER
TNH47424Medicare UPIN