Healthcare Provider Details

I. General information

NPI: 1457385106
Provider Name (Legal Business Name): DAVID L. ATKINSON D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/10/2006
Last Update Date: 12/17/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2881 GEER RD STE B
TURLOCK CA
95382-1111
US

IV. Provider business mailing address

2881 GEER RD STE B
TURLOCK CA
95382-1111
US

V. Phone/Fax

Practice location:
  • Phone: 209-668-1051
  • Fax: 209-668-2630
Mailing address:
  • Phone: 209-668-1051
  • Fax: 209-668-2630

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC 18314
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: