Provider Demographics
NPI:1710398458
Name:MYERS, DAVID (DC)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:
Last Name:MYERS
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 1:116 E MORELAND AVE
Mailing Address - Street 2:UNIT B6
Mailing Address - City:HATBORO
Mailing Address - State:PA
Mailing Address - Zip Code:19040-3247
Mailing Address - Country:US
Mailing Address - Phone:267-317-5219
Mailing Address - Fax:
Practice Address - Street 1:101 E MORELAND AVE
Practice Address - Street 2:SUITE 103
Practice Address - City:HATBORO
Practice Address - State:PA
Practice Address - Zip Code:19040-4742
Practice Address - Country:US
Practice Address - Phone:267-317-5219
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-15
Last Update Date:2014-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC004384L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor