Provider Demographics
NPI:1003905977
Name:CHENOWETH, MICHAEL JOSEPH (DC)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:JOSEPH
Last Name:CHENOWETH
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
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Mailing Address - Street 1:2317 KNOLLWOOD DR
Mailing Address - Street 2:#5
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36693-3119
Mailing Address - Country:US
Mailing Address - Phone:251-661-0833
Mailing Address - Fax:251-661-7036
Practice Address - Street 1:2317 KNOLLWOOD DR
Practice Address - Street 2:#5
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36693-3119
Practice Address - Country:US
Practice Address - Phone:251-661-0833
Practice Address - Fax:251-661-7036
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-11
Last Update Date:2013-07-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AL1085111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor