Provider Demographics
NPI:1356416226
Name:MCCARTY, DAVID D (DC)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:D
Last Name:MCCARTY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 865
Mailing Address - Street 2:
Mailing Address - City:FINDLAY
Mailing Address - State:OH
Mailing Address - Zip Code:45839-0865
Mailing Address - Country:US
Mailing Address - Phone:419-425-1020
Mailing Address - Fax:419-423-6921
Practice Address - Street 1:16380 E STATE ROUTE 12
Practice Address - Street 2:
Practice Address - City:FINDLAY
Practice Address - State:OH
Practice Address - Zip Code:45840-8716
Practice Address - Country:US
Practice Address - Phone:419-425-1020
Practice Address - Fax:419-423-6921
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-23
Last Update Date:2008-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3025111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHU83590Medicare UPIN
OH4228881Medicare PIN