Provider Demographics
NPI:1922138452
Name:MCCARTHY, DAVID MARSH (DC)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:MARSH
Last Name:MCCARTHY
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:PO BOX 422
Mailing Address - Street 2:
Mailing Address - City:WOLFEBORO FALLS
Mailing Address - State:NH
Mailing Address - Zip Code:03896
Mailing Address - Country:US
Mailing Address - Phone:603-569-2222
Mailing Address - Fax:603-569-6335
Practice Address - Street 1:29 MILL STREET
Practice Address - Street 2:SUITE C4 C5
Practice Address - City:WOLFEBORO
Practice Address - State:NH
Practice Address - Zip Code:03894
Practice Address - Country:US
Practice Address - Phone:603-569-2222
Practice Address - Fax:603-569-6335
Is Sole Proprietor?:No
Enumeration Date:2007-03-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0021289111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
054004937NH02OtherBCBS NH
X4X371OtherNEW YORK BCBS
X4X371OtherNEW YORK BCBS