Provider Demographics
NPI:1215124003
Name:CHRISTINE L DOBRAN, D.C.
Entity type:Organization
Organization Name:CHRISTINE L DOBRAN, D.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:L
Authorized Official - Last Name:DOBRAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:937-294-2225
Mailing Address - Street 1:3205 WILMINGTON PIKE
Mailing Address - Street 2:
Mailing Address - City:KETTERING
Mailing Address - State:OH
Mailing Address - Zip Code:45429-4021
Mailing Address - Country:US
Mailing Address - Phone:937-294-2225
Mailing Address - Fax:937-294-5545
Practice Address - Street 1:3205 WILMINGTON PIKE
Practice Address - Street 2:
Practice Address - City:KETTERING
Practice Address - State:OH
Practice Address - Zip Code:45429-4021
Practice Address - Country:US
Practice Address - Phone:937-294-2225
Practice Address - Fax:937-294-5545
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-26
Last Update Date:2007-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2815111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty