Provider Demographics
NPI:1154356269
Name:HUTCHISON, DAVID EARL (DC)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:EARL
Last Name:HUTCHISON
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 1:2205 VESPER CIR
Mailing Address - Street 2:SUITE 101
Mailing Address - City:CORONA
Mailing Address - State:CA
Mailing Address - Zip Code:92879-3501
Mailing Address - Country:US
Mailing Address - Phone:951-738-0660
Mailing Address - Fax:951-738-0102
Practice Address - Street 1:2205 VESPER CIR
Practice Address - Street 2:SUITE 101
Practice Address - City:CORONA
Practice Address - State:CA
Practice Address - Zip Code:92879-3501
Practice Address - Country:US
Practice Address - Phone:951-738-0660
Practice Address - Fax:951-738-0102
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2009-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC21374111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAU27555Medicare UPIN