Provider Demographics
NPI:1275529398
Name:ABBLETT, DAVID EUGENE (DC)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:EUGENE
Last Name:ABBLETT
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 1:1752 MILTON RD
Mailing Address - Street 2:
Mailing Address - City:NAPA
Mailing Address - State:CA
Mailing Address - Zip Code:94559-9773
Mailing Address - Country:US
Mailing Address - Phone:510-697-6995
Mailing Address - Fax:925-827-0829
Practice Address - Street 1:1752 MILTON RD
Practice Address - Street 2:
Practice Address - City:NAPA
Practice Address - State:CA
Practice Address - Zip Code:94559-9773
Practice Address - Country:US
Practice Address - Phone:510-697-6995
Practice Address - Fax:925-827-0829
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-23
Last Update Date:2020-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA15817111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC0158170Medicare ID - Type Unspecified