Provider Demographics
NPI:1497079446
Name:SCHAMBEAU, DAVID VINCENT (DC)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:VINCENT
Last Name:SCHAMBEAU
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:PO BOX 507
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:FL
Mailing Address - Zip Code:33576-0507
Mailing Address - Country:US
Mailing Address - Phone:352-588-4442
Mailing Address - Fax:
Practice Address - Street 1:12237 MAIN ST
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:FL
Practice Address - Zip Code:33576-7201
Practice Address - Country:US
Practice Address - Phone:352-588-4442
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-19
Last Update Date:2013-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH 9933111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor