Provider Demographics
NPI:1689667321
Name:DAUBNER, PETER (DC)
Entity type:Individual
Prefix:
First Name:PETER
Middle Name:
Last Name:DAUBNER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:459 DANBURY RD
Mailing Address - Street 2:
Mailing Address - City:NEW MILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06776-4365
Mailing Address - Country:US
Mailing Address - Phone:860-355-5345
Mailing Address - Fax:860-355-4461
Practice Address - Street 1:459 DANBURY RD
Practice Address - Street 2:
Practice Address - City:NEW MILFORD
Practice Address - State:CT
Practice Address - Zip Code:06776-4365
Practice Address - Country:US
Practice Address - Phone:860-355-5345
Practice Address - Fax:860-355-4461
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000739111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor