MEDICARE: DR. JOHN NICHOLAS DOROBISH 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	DC004648L	PA

General Provider Information

NPI Number	:	1639173305
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN NICHOLAS DOROBISH DC

Provider Business Mailing Address
First Line	:	525 CHERRY TREE LN
Second Line	:
City	:	UNIONTOWN
State	:	PA
Zip	:	15401-8915
Country	:	US
Telephone Number	:	724-434-5755
Fax Number	:	724-434-5576

Provider Business Practice Location Address
First Line	:	525 CHERRY TREE LN
Second Line	:
City	:	UNIONTOWN
State	:	PA
Zip	:	15401-8915
Country	:	US
Telephone Number	:	724-434-5755
Fax Number	:	724-434-5576

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

Provider Enumeration Date	:	06/09/2005
Last Update Date	:	03/19/2021

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