MEDICARE: VALERIE LYNNE DOEBLER DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	DC006940L	PA
2	111N00000X	Chiropractor	AJ006940L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	D0969513	OTHER	PA	PA BLUE SHIELD
2	807263	OTHER	PA	FIRST PRIORITY HEALTH

General Provider Information

NPI Number	:	1033189618
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VALERIE LYNNE DOEBLER DC

Provider Business Mailing Address
First Line	:	460 MARKET ST
Second Line	:	STE 227
City	:	WILLIAMSPORT
State	:	PA
Zip	:	17701-6322
Country	:	US
Telephone Number	:	570-322-2500
Fax Number	:	570-322-2244

Provider Business Practice Location Address
First Line	:	460 MARKET ST
Second Line	:	STE 227
City	:	WILLIAMSPORT
State	:	PA
Zip	:	17701-6322
Country	:	US
Telephone Number	:	570-322-2500
Fax Number	:	570-322-2244

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/25/2006
Last Update Date	:	07/08/2007

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Directions to “ VALERIE LYNNE DOEBLER DC” Practice Location

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