Provider Demographics
NPI:1801071055
Name:DAVID A NEVILLE DC, INC
Entity type:Organization
Organization Name:DAVID A NEVILLE DC, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:ANDREW
Authorized Official - Last Name:NEVILLE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:859-426-1100
Mailing Address - Street 1:320 THOMAS MORE PKWY STE 201A
Mailing Address - Street 2:
Mailing Address - City:CRESTVIEW HILLS
Mailing Address - State:KY
Mailing Address - Zip Code:41017-3456
Mailing Address - Country:US
Mailing Address - Phone:859-426-1100
Mailing Address - Fax:859-426-0809
Practice Address - Street 1:320 THOMAS MORE PKWY STE 201A
Practice Address - Street 2:
Practice Address - City:CRESTVIEW HILLS
Practice Address - State:KY
Practice Address - Zip Code:41017-3456
Practice Address - Country:US
Practice Address - Phone:859-426-1100
Practice Address - Fax:859-426-0809
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-07
Last Update Date:2024-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY4771111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KYU95224Medicare UPIN