Provider Demographics
NPI:1346390085
Name:PLUM, DAVID E (DC)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:E
Last Name:PLUM
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 1:502 S US HIGHWAY 71
Mailing Address - Street 2:#3
Mailing Address - City:SAVANNAH
Mailing Address - State:MO
Mailing Address - Zip Code:64485-2041
Mailing Address - Country:US
Mailing Address - Phone:816-324-3131
Mailing Address - Fax:816-324-3132
Practice Address - Street 1:502 S US HIGHWAY 71
Practice Address - Street 2:#3
Practice Address - City:SAVANNAH
Practice Address - State:MO
Practice Address - Zip Code:64485-2041
Practice Address - Country:US
Practice Address - Phone:816-324-3131
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-12
Last Update Date:2013-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOCE006595111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
000-8034Medicare ID - Type Unspecified
MOU70161Medicare UPIN
000-8034Medicare PIN