Provider Demographics
NPI:1457322521
Name:MACHMER, DAVID E (DC)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:E
Last Name:MACHMER
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 1:1024 WASHINGTON BLVD
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSPORT
Mailing Address - State:PA
Mailing Address - Zip Code:17701-3634
Mailing Address - Country:US
Mailing Address - Phone:570-323-0215
Mailing Address - Fax:570-323-0778
Practice Address - Street 1:1024 WASHINGTON BLVD
Practice Address - Street 2:
Practice Address - City:WILLIAMSPORT
Practice Address - State:PA
Practice Address - Zip Code:17701-3634
Practice Address - Country:US
Practice Address - Phone:570-323-0215
Practice Address - Fax:570-323-0778
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-27
Last Update Date:2011-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC006093L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAMA779037Medicare ID - Type Unspecified
PAU58552Medicare UPIN