Dutton, David Max
Dutton, David Max is an individual health care provider with primary practice located at 2216 San Juan Ave , La Junta CO 81050-3324. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Dutton, David Max can be contacted via phone (719) 384-7346.Contact Information
Primary practice address
2216 San Juan Ave
La Junta CO 81050-3324
Phone: (719) 384-7346
Fax: (719) 384-2259
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 1165 | Colorado |
Profile Details
| NPI number | 1356560619 |
|---|---|
| LBN Legal business name | Dutton, David Max |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 25th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356560619 | NPPES |
| Other | K3503 | MEDICARE CORP |
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