Provider Demographics
NPI:1043217284
Name:COX, DAVID (DC)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:
Last Name:COX
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 1:965 E YOSEMITE AVE
Mailing Address - Street 2:STE 9
Mailing Address - City:MANTECA
Mailing Address - State:CA
Mailing Address - Zip Code:95336-5943
Mailing Address - Country:US
Mailing Address - Phone:209-239-2121
Mailing Address - Fax:209-239-3144
Practice Address - Street 1:965 E YOSEMITE AVE
Practice Address - Street 2:STE 9
Practice Address - City:MANTECA
Practice Address - State:CA
Practice Address - Zip Code:95336-5943
Practice Address - Country:US
Practice Address - Phone:209-239-2121
Practice Address - Fax:209-239-3144
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA23641111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC0236410Medicare ID - Type Unspecified