Provider Demographics
NPI:1568967297
Name:BENEDIKTSDOTTIR, HELENA (DC)
Entity Type:Individual
Prefix:
First Name:HELENA
Middle Name:
Last Name:BENEDIKTSDOTTIR
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3250 INDEPENDENCE DR STE 100
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35209-4190
Mailing Address - Country:US
Mailing Address - Phone:205-803-1234
Mailing Address - Fax:205-803-2137
Practice Address - Street 1:3250 INDEPENDENCE DR STE 100
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35209-4190
Practice Address - Country:US
Practice Address - Phone:205-803-1234
Practice Address - Fax:205-803-2137
Is Sole Proprietor?:No
Enumeration Date:2018-03-26
Last Update Date:2018-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2566111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor