Provider Demographics
NPI:1265538961
Name:AUXIER, DAVID JEFFREY (BS DC)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:JEFFREY
Last Name:AUXIER
Suffix:
Gender:M
Credentials:BS DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15621 STATE ROUTE 199
Mailing Address - Street 2:
Mailing Address - City:PEMBERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43450-9760
Mailing Address - Country:US
Mailing Address - Phone:217-491-1347
Mailing Address - Fax:
Practice Address - Street 1:15621 STATE ROUTE 199
Practice Address - Street 2:
Practice Address - City:PEMBERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43450-9760
Practice Address - Country:US
Practice Address - Phone:217-491-1347
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-16
Last Update Date:2013-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038008461111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL03128308OtherBLUE CROSS OF IL
IL705790Medicare ID - Type Unspecified