Provider Demographics
NPI:1265837033
Name:ALFORD, CALEB MARSTON (DC)
Entity Type:Individual
Prefix:DR
First Name:CALEB
Middle Name:MARSTON
Last Name:ALFORD
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 1:107 NORTHWEST PLZ
Mailing Address - Street 2:
Mailing Address - City:SENATOBIA
Mailing Address - State:MS
Mailing Address - Zip Code:38668-1728
Mailing Address - Country:US
Mailing Address - Phone:626-689-0030
Mailing Address - Fax:662-843-0364
Practice Address - Street 1:107 NORTHWEST PLZ
Practice Address - Street 2:
Practice Address - City:SENATOBIA
Practice Address - State:MS
Practice Address - Zip Code:38668-1728
Practice Address - Country:US
Practice Address - Phone:626-689-0030
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-23
Last Update Date:2022-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS1233111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor