Provider Demographics
NPI:1093915340
Name:DR. DAVID W NADLER ASSOCPC
Entity Type:Organization
Organization Name:DR. DAVID W NADLER ASSOCPC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:WAYNE
Authorized Official - Last Name:NADLER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:610-353-3888
Mailing Address - Street 1:3475 W CHESTER PIKE
Mailing Address - Street 2:STE 140
Mailing Address - City:NEWTOWN SQUARE
Mailing Address - State:PA
Mailing Address - Zip Code:19073-4280
Mailing Address - Country:US
Mailing Address - Phone:610-353-3888
Mailing Address - Fax:610-353-9863
Practice Address - Street 1:3475 W CHESTER PIKE
Practice Address - Street 2:STE 140
Practice Address - City:NEWTOWN SQUARE
Practice Address - State:PA
Practice Address - Zip Code:19073-4280
Practice Address - Country:US
Practice Address - Phone:610-353-3888
Practice Address - Fax:610-353-9863
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-24
Last Update Date:2007-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC4569-L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA2081396000OtherKEYSTONE
PA2081396000OtherPERSONAL CHOICE
PA2081396000OtherPERSONAL CHOICE