Provider Demographics
NPI:1770633059
Name:BRONAT, DAVID SCOTT (DC)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:SCOTT
Last Name:BRONAT
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 1:1312 MASSACHUSETTS AVE NW
Mailing Address - Street 2:#310
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20005-4165
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:202-296-1633
Practice Address - Street 1:2000 L ST NW
Practice Address - Street 2:#1B
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20036-4907
Practice Address - Country:US
Practice Address - Phone:202-296-1601
Practice Address - Fax:202-296-1633
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCCH30017111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor