Provider Demographics
NPI:1326071440
Name:PASLEY, JEFFREY DAVID (DC)
Entity Type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:DAVID
Last Name:PASLEY
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:PO BOX 847
Mailing Address - Street 2:
Mailing Address - City:MILLBROOK
Mailing Address - State:AL
Mailing Address - Zip Code:36054-0018
Mailing Address - Country:US
Mailing Address - Phone:334-285-8483
Mailing Address - Fax:844-654-7165
Practice Address - Street 1:3363 HIGHWAY 14
Practice Address - Street 2:
Practice Address - City:MILLBROOK
Practice Address - State:AL
Practice Address - Zip Code:36054-2424
Practice Address - Country:US
Practice Address - Phone:334-285-8483
Practice Address - Fax:844-654-7165
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-09
Last Update Date:2015-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2130111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL051531099PASMedicare PIN
ALV08080Medicare UPIN