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NPI Code Detail

MEDICARE: DR. DAVID J. HEARST D.C.

MEDICARE:  DR. DAVID J. HEARST  D.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor3575OH

General Provider Information

NPI Number : 1033181466
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID J. HEARST D.C.
Provider Business Mailing Address
First Line : 33141 BAINBRIDGE RD
Second Line :
City : SOLON
State : OH
Zip : 44139-2835
Country : US
Telephone Number : 440-248-8888
Fax Number : 440-349-4026
Provider Business Practice Location Address
First Line : 33141 BAINBRIDGE RD
Second Line :
City : SOLON
State : OH
Zip : 44139-2835
Country : US
Telephone Number : 440-248-8888
Fax Number : 440-349-4026
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/01/2006
Last Update Date : 07/08/2007

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Directions to “ DR. DAVID J. HEARST D.C.” Practice Location

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