Healthcare Provider Details

I. General information

NPI: 1265671499
Provider Name (Legal Business Name): DAVID PETER NORRIS D.C., M.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/11/2009
Last Update Date: 02/11/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4494 WALNUT ST
DAYTON OH
45440-1378
US

IV. Provider business mailing address

2877 ROSEMAR RD
PARKERSBURG WV
26105-8140
US

V. Phone/Fax

Practice location:
  • Phone: 937-426-0284
  • Fax:
Mailing address:
  • Phone: 304-294-4036
  • Fax: 877-426-0284

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NN1001X
TaxonomyNutrition Chiropractor
License NumberDC3945
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: