Provider Demographics
NPI:1700838976
Name:BACHMAN, DAVID S (DC)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:S
Last Name:BACHMAN
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 1707
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:AL
Mailing Address - Zip Code:35602-1707
Mailing Address - Country:US
Mailing Address - Phone:256-351-6000
Mailing Address - Fax:256-301-8980
Practice Address - Street 1:2618 BRIAR AVE SW
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:AL
Practice Address - Zip Code:35601-6383
Practice Address - Country:US
Practice Address - Phone:256-351-6000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2024111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL515-34536OtherBLUE CROSS - DECATUR
AL515-34536OtherBLUE CROSS - DECATUR