Organization Name: | DR. JACK DOLBIN D.C, P.C |
NPI Number: | 1174694061 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JACK TICE DOLBIN (OWNER) |
Mailing Address: | 700 Schuylkill Manor Rd Suite #4 Pottsville |
State: | PA US |
Postal Code: | 179013849 |
Phone Number: | 5706214390 |
Fax Number: | 5706214296 |
NPI Enumeration Date: | 11/13/2006 |
NPI Last Update Date: | 08/17/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | DC006103L |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |