Provider Demographics
NPI:1932868411
Name:DORIA, ALBERTO (DC)
Entity Type:Individual
Prefix:DR
First Name:ALBERTO
Middle Name:
Last Name:DORIA
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 1:108 MEMORIAL DR
Mailing Address - Street 2:
Mailing Address - City:DONALDSONVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70346-4337
Mailing Address - Country:US
Mailing Address - Phone:225-473-3990
Mailing Address - Fax:
Practice Address - Street 1:11716 BRICKSOME AVE
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70816-5322
Practice Address - Country:US
Practice Address - Phone:225-295-3494
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-13
Last Update Date:2021-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1910111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor