Provider Demographics
NPI:1205666229
Name:ACTON, DAVID
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:
Last Name:ACTON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1331 WEATHERVANE LN APT 3B
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44313-7912
Mailing Address - Country:US
Mailing Address - Phone:865-617-9738
Mailing Address - Fax:
Practice Address - Street 1:411 WOLF LEDGES PKWY STE 410
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44311-1028
Practice Address - Country:US
Practice Address - Phone:330-298-8810
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-05
Last Update Date:2024-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator