Provider Demographics
NPI:1104832286
Name:MIDDLETON, DAVID WILLIAM (DC)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:WILLIAM
Last Name:MIDDLETON
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 1:90 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:NH
Mailing Address - Zip Code:03820-4028
Mailing Address - Country:US
Mailing Address - Phone:603-749-2045
Mailing Address - Fax:603-749-2088
Practice Address - Street 1:90 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:NH
Practice Address - Zip Code:03820-4028
Practice Address - Country:US
Practice Address - Phone:603-749-2045
Practice Address - Fax:603-749-2088
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2023-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH7010803111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH05Y008399NH01OtherANTHEM BLUE CROSS/SHEILD
NH5596174OtherCIGNA
NH05Y008399NH01OtherANTHEM BLUE CROSS/SHEILD