Provider Demographics
NPI:1922055367
Name:BETTS, DAVID (DC)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:
Last Name:BETTS
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 1:30000 ORCHARD LAKE RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48334-2252
Mailing Address - Country:US
Mailing Address - Phone:248-626-6892
Mailing Address - Fax:248-855-2477
Practice Address - Street 1:30000 ORCHARD LAKE RD
Practice Address - Street 2:SUITE B
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48334-2252
Practice Address - Country:US
Practice Address - Phone:248-626-6892
Practice Address - Fax:248-855-2477
Is Sole Proprietor?:No
Enumeration Date:2006-05-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301008804111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor