Provider Demographics
NPI:1346235504
Name:BROWN, DARYL PALMER (CHIROPRACTOR)
Entity Type:Individual
Prefix:DR
First Name:DARYL
Middle Name:PALMER
Last Name:BROWN
Suffix:
Gender:M
Credentials:CHIROPRACTOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1420 MCFARLAND BLVD
Mailing Address - Street 2:SUITE 8
Mailing Address - City:NORTHPORT
Mailing Address - State:AL
Mailing Address - Zip Code:35476-3265
Mailing Address - Country:US
Mailing Address - Phone:205-333-7227
Mailing Address - Fax:
Practice Address - Street 1:1420 MCFARLAND BLVD
Practice Address - Street 2:SUITE 8
Practice Address - City:NORTHPORT
Practice Address - State:AL
Practice Address - Zip Code:35476-3265
Practice Address - Country:US
Practice Address - Phone:205-333-7227
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-14
Last Update Date:2010-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL988111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL70534OtherBLUE CROSS BLUE SHIELD #
AL70534OtherBLUE CROSS BLUE SHIELD #
AL000070534Medicare ID - Type UnspecifiedMEDICARE ID NO.