Provider Demographics
NPI:1639325707
Name:CABRAL & ASSOCIATES, LLC
Entity Type:Organization
Organization Name:CABRAL & ASSOCIATES, LLC
Other - Org Name:CABRAL CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER / MANAGNING MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:E
Authorized Official - Last Name:CABRAL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:205-939-0095
Mailing Address - Street 1:1933 RICHARD ARRINGTON JR BLVD S STE 102
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35209-1262
Mailing Address - Country:US
Mailing Address - Phone:205-939-0095
Mailing Address - Fax:205-939-0097
Practice Address - Street 1:1933 RICHARD ARRINGTON JR BLVD S STE 102
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35209-1262
Practice Address - Country:US
Practice Address - Phone:205-939-0095
Practice Address - Fax:205-939-0097
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-08
Last Update Date:2008-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL842111N00000X
AL1153111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51534527OtherBLUE CROSS / BLUE SHEILD