Provider Demographics
NPI:1992006977
Name:DAVID W MAYER CHIROPRACTIC INC
Entity Type:Organization
Organization Name:DAVID W MAYER CHIROPRACTIC INC
Other - Org Name:MAYER CHIROPRACTIC CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:
Authorized Official - Last Name:MAYER HUNT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-446-6242
Mailing Address - Street 1:1400 COURT ST
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33756-6147
Mailing Address - Country:US
Mailing Address - Phone:727-446-6242
Mailing Address - Fax:727-446-5250
Practice Address - Street 1:1400 COURT ST
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33756-6147
Practice Address - Country:US
Practice Address - Phone:727-446-6242
Practice Address - Fax:727-446-5250
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-08
Last Update Date:2010-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH0004005111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty