Healthcare Provider Details

I. General information

NPI: 1386932275
Provider Name (Legal Business Name): DAVID PAUL SILVERMAN D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/13/2011
Last Update Date: 03/09/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

620 TRUMAN ST SE
ALBUQUERQUE NM
87108-3545
US

IV. Provider business mailing address

620 TRUMAN ST SE
ALBUQUERQUE NM
87108-3545
US

V. Phone/Fax

Practice location:
  • Phone: 404-625-9065
  • Fax:
Mailing address:
  • Phone: 404-625-9065
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License NumberCHIR008841
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number1951
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: