Provider Demographics
NPI:1285791855
Name:PLATTNER, DAVID MARTIN (DC)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:MARTIN
Last Name:PLATTNER
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 1:935 SE HWY 13
Mailing Address - Street 2:
Mailing Address - City:LEETON
Mailing Address - State:MO
Mailing Address - Zip Code:64761
Mailing Address - Country:US
Mailing Address - Phone:660-747-2225
Mailing Address - Fax:660-747-2205
Practice Address - Street 1:215 AND A HALF EAST GAY STREET
Practice Address - Street 2:
Practice Address - City:WARRENSBURG
Practice Address - State:MO
Practice Address - Zip Code:64093-1840
Practice Address - Country:US
Practice Address - Phone:660-747-2225
Practice Address - Fax:660-747-2205
Is Sole Proprietor?:No
Enumeration Date:2007-01-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO005271111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO386357OtherHEALTHLINK
MO12519019OtherBLUE CROSS & BLUE SHIELD
MO0006882Medicare ID - Type Unspecified