Provider Demographics
NPI:1043892144
Name:BLACK, MARGARET ARIELLE (DC)
Entity Type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:ARIELLE
Last Name:BLACK
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:907 WOODWARD AVE
Mailing Address - Street 2:
Mailing Address - City:MUSCLE SHOALS
Mailing Address - State:AL
Mailing Address - Zip Code:35661-1553
Mailing Address - Country:US
Mailing Address - Phone:256-443-5832
Mailing Address - Fax:
Practice Address - Street 1:907 WOODWARD AVE
Practice Address - Street 2:
Practice Address - City:MUSCLE SHOALS
Practice Address - State:AL
Practice Address - Zip Code:35661-1553
Practice Address - Country:US
Practice Address - Phone:256-443-5832
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-27
Last Update Date:2021-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2689111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL2689OtherALABAMA STATE BOARD OF CHIROPRACTIC EXAMINERS