Provider Demographics
NPI:1720036403
Name:ROUTLEY, DAVID III (DC)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:
Last Name:ROUTLEY
Suffix:III
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 363
Mailing Address - Street 2:
Mailing Address - City:MECOSTA
Mailing Address - State:MI
Mailing Address - Zip Code:49332-0363
Mailing Address - Country:US
Mailing Address - Phone:231-972-4141
Mailing Address - Fax:231-972-7507
Practice Address - Street 1:6604 9 MILE RD
Practice Address - Street 2:
Practice Address - City:MECOSTA
Practice Address - State:MI
Practice Address - Zip Code:49332-9703
Practice Address - Country:US
Practice Address - Phone:231-972-4141
Practice Address - Fax:231-972-7507
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-04
Last Update Date:2019-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI005841111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI142831242Medicaid
0E45018Medicare ID - Type Unspecified