DR. DAVID BRUCE TREADWELL (NPI# 1194869396) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194869396 |
| Entity Type | Individual |
| Full Name | DR. DAVID BRUCE TREADWELL |
| Credential | D.C |
| Practice Address |
801 E Main St 801 E Main P.o. 344 Princeton MO 64673-1239 |
| Mailing Address |
801 E Main St P.o. Box 344 Princeton MO 64673-1239 |
| Practice Telephone | 6607484015 |
| Practice Fax Number | 6607484115 |
| Mailing Telephone | 6607484015 |
| Mailing Fax Number | 6607484115 |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 003757 | MO | Chiropractic Providers |
| Street Address |
801 E MAIN ST 801 E MAIN P.O. 344 |
| City | PRINCETON |
| State | MO |
| Zip Code | 64673-1239 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699860312 | Amy Lee Mcdaniel | Physical Therapist | 807 Hickland St, Princeton, MO 64673 | 2006-10-04 |
| 1417983503 | Hy Vee Inc | Durable Medical Equipment & Medical Supplies | 710 Main St, Princeton, MO 64673 | 2006-06-23 |
| 1043291255 | Pearl's II Eden for Elders LLC | Skilled Nursing Facility | 611 N College Ave, Princeton, MO 64673-1051 | 2005-11-07 |
| 1588737555 | Pearls Residential Care LLC | Assisted Living Facility | 308 S Broadway St, Princeton, MO 64673-1111 | 2006-11-16 |
| 1679510556 | Mercer County Ambulance District | Ambulance | 201 W Hickland St, Princeton, MO 64673-1128 | 2006-06-01 |
| 1477708519 | Mercer County Ambulance District | Ambulance | 201 W Hickland St, Princeton, MO 64673-1128 | 2008-11-17 |
| 1053430561 | Mercer County Health Department | Public Health or Welfare | 305 W Main St, Princeton, MO 64673-1133 | 2007-03-28 |
| 1366949877 | Community Health Centers of Southern Iowa, Inc | Clinic/Center | 606 W Main St, Princeton, MO 64673-1140 | 2018-04-11 |
| 1235331000 | Philip Stephen Staehling | Pharmacist | 710 W Main St, Princeton, MO 64673-1141 | 2007-06-04 |
| 1235345349 | Bristol Care, Inc. | Assisted Living Facility | 200 N Fullerton St, Princeton, MO 64673-1176 | 2007-05-15 |
| Find all providers in zip 64673 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225373103 | Princeton Family Chiropractic | Chiropractor | 66 Mount Lucas Rd, Suite E2, Princeton, NJ 08540-2733 | 2012-12-04 |
| 1932488178 | Kelli Mann | Chiropractor | 902 Stafford Dr., Princeton, WV 24740 | 2011-08-05 |
| 1083929582 | Princeton Natural Health Care Associates | Chiropractor | 204 N Harrison St Fl 1, Princeton, NJ 08540-3507 | 2010-08-10 |
| 1871755694 | Lonnie L Edwards | Chiropractor | 1288n State Rd 65, Princeton, IN 47670-9515 | 2008-07-02 |
| 1346415312 | David Carl Maffei | Chiropractor | 3640 Lawrenceville Road, Princeton, NJ 08540 | 2008-04-29 |
| 1124203443 | Paul Family Chiropractic, PC | Chiropractor | 1 Airport Pl, Suite # 4, Princeton, NJ 08540-1532 | 2008-01-05 |
| 1740461490 | Back2health-princeton, LLC | Chiropractor | 107 N 1st Ave, Princeton, IN 47670-1061 | 2007-11-23 |
| 1851505010 | Lounsbury Chiropractic Office Inc | Chiropractor | 1307 Mercer St, Princeton, WV 24740 | 2007-05-09 |
| 1073733465 | Jarred Allen Farrell | Chiropractor | 682 East Peru Street, Princeton, IL 61356 | 2007-04-26 |
| 1871615278 | Joseph Marc Paul | Chiropractor | 1 Airport Pl Ste 4, Princeton, NJ 08540-1532 | 2007-04-04 |
| Find all providers in PRINCETON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.