Provider Demographics
NPI:1477746725
Name:HAVEY, DONALD BRIAN (DC)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:BRIAN
Last Name:HAVEY
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 1:16223 BAXTER RD
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:63017-4777
Mailing Address - Country:US
Mailing Address - Phone:636-536-2304
Mailing Address - Fax:636-536-2305
Practice Address - Street 1:16223 BAXTER RD
Practice Address - Street 2:
Practice Address - City:CHESTERFIELD
Practice Address - State:MO
Practice Address - Zip Code:63017-4777
Practice Address - Country:US
Practice Address - Phone:636-536-2304
Practice Address - Fax:636-536-2305
Is Sole Proprietor?:No
Enumeration Date:2007-08-21
Last Update Date:2011-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO005552111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor