Provider Demographics
NPI:1760727556
Name:DU BOURDIEU, DAVID SCHUYLER (DC)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:SCHUYLER
Last Name:DU BOURDIEU
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 1:1187 COAST VILLAGE RD
Mailing Address - Street 2:#333
Mailing Address - City:MONTECITO
Mailing Address - State:CA
Mailing Address - Zip Code:93108-2737
Mailing Address - Country:US
Mailing Address - Phone:805-899-3333
Mailing Address - Fax:805-899-3310
Practice Address - Street 1:225 E COTA ST
Practice Address - Street 2:STUDIO #3
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93101-1683
Practice Address - Country:US
Practice Address - Phone:805-899-3333
Practice Address - Fax:805-899-3310
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-05
Last Update Date:2012-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC 26544111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor