Provider Demographics
NPI:1215156773
Name:DOBBINS, CAROLYN ANNE (DC)
Entity type:Individual
Prefix:DR
First Name:CAROLYN
Middle Name:ANNE
Last Name:DOBBINS
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 1:421 21ST AVE STE 42
Mailing Address - Street 2:
Mailing Address - City:LONGMONT
Mailing Address - State:CO
Mailing Address - Zip Code:80501-1470
Mailing Address - Country:US
Mailing Address - Phone:303-772-7760
Mailing Address - Fax:303-684-8101
Practice Address - Street 1:421 21ST AVE STE 42
Practice Address - Street 2:
Practice Address - City:LONGMONT
Practice Address - State:CO
Practice Address - Zip Code:80501-1470
Practice Address - Country:US
Practice Address - Phone:303-772-7760
Practice Address - Fax:303-684-8101
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO3655111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor