Healthcare Provider Details

I. General information

NPI: 1043411325
Provider Name (Legal Business Name): DAVID FRANCIS EADE D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/31/2007
Last Update Date: 01/05/2023
Certification Date: 01/05/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

575 LINCOLN AVE STE 225
NAPA CA
94558-3664
US

IV. Provider business mailing address

575 LINCOLN AVE STE 225
NAPA CA
94558-3664
US

V. Phone/Fax

Practice location:
  • Phone: 707-255-6888
  • Fax: 707-255-1827
Mailing address:
  • Phone: 707-255-6888
  • Fax: 707-255-1827

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC 25857
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: