Provider Demographics
NPI:1104885292
Name:TURNER, DAVID CHAPMAN (DC)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:CHAPMAN
Last Name:TURNER
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 1:460 MARKET ST
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSPORT
Mailing Address - State:PA
Mailing Address - Zip Code:17701-6322
Mailing Address - Country:US
Mailing Address - Phone:570-322-3362
Mailing Address - Fax:570-322-3651
Practice Address - Street 1:460 MARKET ST
Practice Address - Street 2:
Practice Address - City:WILLIAMSPORT
Practice Address - State:PA
Practice Address - Zip Code:17701-6385
Practice Address - Country:US
Practice Address - Phone:570-322-3362
Practice Address - Fax:570-322-3651
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-20
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC003889L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001159545001Medicaid
PA077985OtherBLUE SHIELD
PA077985OtherBLUE SHIELD
PA001159545001Medicaid