Provider Demographics
NPI:1932203411
Name:NEFF, DAVID ALBERT (DC)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:ALBERT
Last Name:NEFF
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 1:601 N CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:FAIRBORN
Mailing Address - State:OH
Mailing Address - Zip Code:45324-5211
Mailing Address - Country:US
Mailing Address - Phone:937-879-4262
Mailing Address - Fax:937-879-4250
Practice Address - Street 1:601 N CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:FAIRBORN
Practice Address - State:OH
Practice Address - Zip Code:45324-5211
Practice Address - Country:US
Practice Address - Phone:937-879-4262
Practice Address - Fax:937-879-4250
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH369111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000008732OtherBLUE CROSS
OH310956016-00OtherLABOR AND INDUSTRY
OH0247352Medicaid
OH0247352Medicaid
OH0401952Medicare ID - Type Unspecified