Healthcare Provider Details

I. General information

NPI: 1205666229
Provider Name (Legal Business Name): DAVID ACTON
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/05/2024
Last Update Date: 11/10/2025
Certification Date: 11/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

624 MARKET AVE N
CANTON OH
44702-1017
US

IV. Provider business mailing address

1331 WEATHERVANE LN APT 3B
AKRON OH
44313-7912
US

V. Phone/Fax

Practice location:
  • Phone: 330-968-9898
  • Fax: 330-452-3875
Mailing address:
  • Phone: 865-617-9738
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberS.2512920
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: