Provider Demographics
NPI:1265640270
Name:CORFMAN, ORVAL EUGENE (DC)
Entity Type:Individual
Prefix:DR
First Name:ORVAL
Middle Name:EUGENE
Last Name:CORFMAN
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 1:34 HUGHES RD STE C
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:AL
Mailing Address - Zip Code:35758-3000
Mailing Address - Country:US
Mailing Address - Phone:256-270-9413
Mailing Address - Fax:256-270-9613
Practice Address - Street 1:34 HUGHES RD STE C
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:AL
Practice Address - Zip Code:35758-3000
Practice Address - Country:US
Practice Address - Phone:256-270-9413
Practice Address - Fax:256-270-9613
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2016-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL0958111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALT68364Medicare UPIN
AL000070480Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER
AL510-76480OtherBCBS PROVIDER NUMBER