Provider Demographics
NPI:1366500944
Name:CORFMAN CHIROPRACTIC GROUP P.C.
Entity Type:Organization
Organization Name:CORFMAN CHIROPRACTIC GROUP P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:HOWARD
Authorized Official - Last Name:CORFMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:256-767-7230
Mailing Address - Street 1:2134 HELTON DR
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:AL
Mailing Address - Zip Code:35630-1449
Mailing Address - Country:US
Mailing Address - Phone:256-767-7230
Mailing Address - Fax:256-767-7267
Practice Address - Street 1:2134 HELTON DR
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:AL
Practice Address - Zip Code:35630-1449
Practice Address - Country:US
Practice Address - Phone:256-767-7230
Practice Address - Fax:256-767-7267
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1639111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51003159OtherBLUE CROSS BLUE SHIELD
P00284783OtherMEDICARE RAILROAD CARRIER
5470134OtherAETNA
TN4128246OtherBLUE CROSS BLUE SHIELD
4265074OtherCIGNA
U62229Medicare UPIN