De Dubovay, Mark

De Dubovay, Mark is an individual health care provider with primary practice located at 14340 Bolsa Chica Rd Ste G , Westminster CA 92683. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. De Dubovay, Mark can be contacted via phone (562) 795-6680.

Contact Information

Primary practice address
14340 Bolsa Chica Rd Ste G Westminster CA 92683
Fax: (562) 799-9575
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X DC17394 California

Profile Details

NPI number 1790714160
LBN Legal business name De Dubovay, Mark
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2006
Last updated Aug 27th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790714160 NPPES
California Other DC0173940 BLUE SHIELD LICENSE NO.

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