Provider Demographics
NPI:1265671499
Name:NORRIS, DAVID PETER (DC, MS)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:PETER
Last Name:NORRIS
Suffix:
Gender:M
Credentials:DC, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2877 ROSEMAR RD
Mailing Address - Street 2:
Mailing Address - City:PARKERSBURG
Mailing Address - State:WV
Mailing Address - Zip Code:26105-8140
Mailing Address - Country:US
Mailing Address - Phone:304-294-4036
Mailing Address - Fax:877-426-0284
Practice Address - Street 1:4494 WALNUT ST
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45440-1378
Practice Address - Country:US
Practice Address - Phone:937-426-0284
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-11
Last Update Date:2009-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHDC3945111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN1001XChiropractic ProvidersChiropractorNutrition