Provider Demographics
NPI:1750316113
Name:ADLER, DAVID NEIL (DC)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:NEIL
Last Name:ADLER
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 1:1475 HOLCOMB BRIDGE RD
Mailing Address - Street 2:SUITE 177
Mailing Address - City:ROSWELL
Mailing Address - State:GA
Mailing Address - Zip Code:30076-2126
Mailing Address - Country:US
Mailing Address - Phone:770-594-2233
Mailing Address - Fax:770-594-1080
Practice Address - Street 1:1475 HOLCOMB BRIDGE RD
Practice Address - Street 2:SUITE 177
Practice Address - City:ROSWELL
Practice Address - State:GA
Practice Address - Zip Code:30076-2126
Practice Address - Country:US
Practice Address - Phone:770-594-2233
Practice Address - Fax:770-594-1080
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2012-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR004666111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
GACHIR004666OtherSTATE LISCENSE
GA35ZCHTRMedicare ID - Type Unspecified
GAT93417Medicare UPIN