Healthcare Provider Details

I. General information

NPI: 1982988630
Provider Name (Legal Business Name): PATRICIA JANE DOBBINS DC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/29/2011
Last Update Date: 09/29/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1240 HIGH ST
ALAMEDA CA
94501-4853
US

IV. Provider business mailing address

1240 HIGH ST
ALAMEDA CA
94501-4853
US

V. Phone/Fax

Practice location:
  • Phone: 510-747-1600
  • Fax:
Mailing address:
  • Phone: 510-747-1600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number25051
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: