Provider Demographics
NPI:1639219496
Name:SWITALSKI, BRUCE M (DC)
Entity Type:Individual
Prefix:DR
First Name:BRUCE
Middle Name:M
Last Name:SWITALSKI
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2611 ARTIE ST SW
Mailing Address - Street 2:SUITE 2
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35805-4706
Mailing Address - Country:US
Mailing Address - Phone:256-512-0091
Mailing Address - Fax:256-512-0049
Practice Address - Street 1:2611 ARTIE ST SW
Practice Address - Street 2:SUITE 2
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35805-4706
Practice Address - Country:US
Practice Address - Phone:256-512-0091
Practice Address - Fax:256-512-0049
Is Sole Proprietor?:No
Enumeration Date:2007-02-08
Last Update Date:2013-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1293111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL1293OtherLICENSE NUMBER-ALABAMA
AL51074687OtherBCBS OF ALABAMA
AL1720317001OtherNPI
AL51074687OtherBCBS OF ALABAMA
AL1720317001OtherNPI