Provider Demographics
NPI:1235992645
Name:MCFARLANE, ANDRE JOVANI (DC)
Entity Type:Individual
Prefix:
First Name:ANDRE
Middle Name:JOVANI
Last Name:MCFARLANE
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 1:214 COUNTY ROAD 1064
Mailing Address - Street 2:
Mailing Address - City:VINEMONT
Mailing Address - State:AL
Mailing Address - Zip Code:35179-7424
Mailing Address - Country:US
Mailing Address - Phone:813-403-3811
Mailing Address - Fax:
Practice Address - Street 1:401 1ST ST NE
Practice Address - Street 2:
Practice Address - City:CULLMAN
Practice Address - State:AL
Practice Address - Zip Code:35055-3504
Practice Address - Country:US
Practice Address - Phone:256-734-4357
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-31
Last Update Date:2024-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2838111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor