Provider Demographics
NPI:1659371003
Name:KIRSCH, DAVID A (DC)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:A
Last Name:KIRSCH
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 1915
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38101-1915
Mailing Address - Country:US
Mailing Address - Phone:954-871-8483
Mailing Address - Fax:
Practice Address - Street 1:369 PINE ST
Practice Address - Street 2:103
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94104-3327
Practice Address - Country:US
Practice Address - Phone:954-871-8483
Practice Address - Fax:305-669-0542
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-28
Last Update Date:2012-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH8980111N00000X
CADC32243111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor