Dr. Paul Evans Dorosheff
Chiropractic Sports Physician
1518 Camp Jackson Rd
Cahokia
, Illinois 62206-2561
Dr. Paul Evans Dorosheff
Chiropractic Sports Physician
1518 Camp Jackson Rd
Cahokia
, Illinois 62206-2561
(618) 337-7109
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About
Features
Specialties
- Chiropractic Sports Physician
Languages spoken
- English
Location
First Address
- Dr. Paul Evans Dorosheff
- 26499 Wohler Ave
- Greenview, IL
- Zip : 62642-9574
- Fax : (618) 337-7109
- Phone : (314) 471-8212
Second Address
- Dr. Paul Evans Dorosheff
- 1518 Camp Jackson Rd
- Cahokia, IL
- Zip : 62206-2561
- Fax : (618) 337-7109
- Phone : (314) 471-8212
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111NS0005X | Chiropractic Sports Physician | IL |
National Provider Identifier
| NPI | 1104863984 |
|---|---|
| Provider Name | Dr. Paul Evans Dorosheff |
| First Address | Greenview, IL 62642-9574 |
| Second Address | Cahokia, IL 62206-2561 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/06/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.