Provider Demographics
NPI:1912160615
Name:CLAY, DAVID M (DC)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:M
Last Name:CLAY
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 1:806 N STATE ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:STANTON
Mailing Address - State:MI
Mailing Address - Zip Code:48888
Mailing Address - Country:US
Mailing Address - Phone:989-831-5218
Mailing Address - Fax:989-831-7687
Practice Address - Street 1:806 N STATE ST
Practice Address - Street 2:SUITE B
Practice Address - City:STANTON
Practice Address - State:MI
Practice Address - Zip Code:48888
Practice Address - Country:US
Practice Address - Phone:989-831-5218
Practice Address - Fax:989-831-7687
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-03
Last Update Date:2011-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301009441111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor