Provider Demographics
NPI:1922207711
Name:OLIVER, DAVID BRIAN (DC)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:BRIAN
Last Name:OLIVER
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 1:60 AUSTIN ST
Mailing Address - Street 2:STE 102
Mailing Address - City:NEWTON
Mailing Address - State:MA
Mailing Address - Zip Code:02460-1857
Mailing Address - Country:US
Mailing Address - Phone:617-641-9999
Mailing Address - Fax:617-641-6767
Practice Address - Street 1:60 AUSTIN ST STE 102
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:MA
Practice Address - Zip Code:02460-1857
Practice Address - Country:US
Practice Address - Phone:617-641-9999
Practice Address - Fax:617-641-6767
Is Sole Proprietor?:No
Enumeration Date:2007-07-12
Last Update Date:2020-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3140111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor