Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111N00000X | Chiropractor | 18222 | CA |
Y | 111N00000X | Chiropractor | CHR.0008008 | CO |
N | 207R00000X | Internist | 18222 | CA |
N | 111NI0900X | Internist | 18222 | CA |
N | 207R00000X | Internist | CHR.0008008 | CO |
N | 111NI0900X | Internist | CHR.0008008 | CO |
N | 111NS0005X | Chiropractic Sports Physician | 18222 | CA |
NPI | 1003822297 |
---|---|
Provider Name | Dr. Joann Dooley |
First Address | Fort Collins, CO 80521-4801 |
Second Address | Fort Collins, CO 80521-4801 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/07/2006 |
Last Update Date | 19/10/2020 |