Provider Demographics
NPI:1588998132
Name:DOOLEY CHIROPRACTIC LLC
Entity type:Organization
Organization Name:DOOLEY CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:DOOLEY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:937-427-2225
Mailing Address - Street 1:3060 DAYTON XENIA RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:BEAVERCREEK
Mailing Address - State:OH
Mailing Address - Zip Code:45434-6308
Mailing Address - Country:US
Mailing Address - Phone:937-427-2225
Mailing Address - Fax:937-431-1722
Practice Address - Street 1:3060 DAYTON XENIA RD
Practice Address - Street 2:SUITE A
Practice Address - City:BEAVERCREEK
Practice Address - State:OH
Practice Address - Zip Code:45434-6308
Practice Address - Country:US
Practice Address - Phone:937-427-2225
Practice Address - Fax:937-431-1722
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-30
Last Update Date:2009-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4010261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service