Provider Demographics
NPI:1851470322
Name:DOONE, MICHELE MARIE (DC)
Entity type:Individual
Prefix:
First Name:MICHELE
Middle Name:MARIE
Last Name:DOONE
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 1:11083 LOCKSHIRE DRIVE
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75035-3765
Mailing Address - Country:US
Mailing Address - Phone:214-763-0412
Mailing Address - Fax:972-712-8542
Practice Address - Street 1:1502 BELTLINE RD
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75006
Practice Address - Country:US
Practice Address - Phone:214-763-0412
Practice Address - Fax:972-712-8542
Is Sole Proprietor?:No
Enumeration Date:2006-11-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX4334111N00000X
CA18781111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
T13048Medicare UPIN
TX85290FMedicare ID - Type Unspecified