| David Traster, DC | |
|
15966 Laurel Creek Dr, Delray Beach, FL 33446-9556 | |
| (973) 600-4675 | |
| Not Available |
| Full Name | David Traster |
|---|---|
| Gender | Male |
| Speciality | Chiropractor - Neurology |
| Location | 15966 Laurel Creek Dr, Delray Beach, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124416599 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111NN0400X | Chiropractor - Neurology | CHIR009377 (Georgia) | Primary |
| 111NN0400X | Chiropractor - Neurology | CH11740 (Florida) | Secondary |
| Provider Name | Neurologic Wellness Institute Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1396393682 PECOS PAC ID: 7416380506 Enrollment ID: O20191203002617 |
| Mailing Address | Practice Location Address |
|---|---|
| David Traster, DC 15966 Laurel Creek Dr, Delray Beach, FL 33446-9556 Ph: (973) 600-4675 | David Traster, DC 15966 Laurel Creek Dr, Delray Beach, FL 33446-9556 Ph: (973) 600-4675 |
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