Provider Demographics
NPI:1659555787
Name:SAXON FAMILY CHIROPRACTIC
Entity Type:Organization
Organization Name:SAXON FAMILY CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF CHIROPRACTIC
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:LYNNE
Authorized Official - Last Name:SAXON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:251-625-1034
Mailing Address - Street 1:315 MAGNOLIA AVE
Mailing Address - Street 2:
Mailing Address - City:FAIRHOPE
Mailing Address - State:AL
Mailing Address - Zip Code:36532-2413
Mailing Address - Country:US
Mailing Address - Phone:251-990-8188
Mailing Address - Fax:251-990-8159
Practice Address - Street 1:315 MAGNOLIA AVE
Practice Address - Street 2:
Practice Address - City:FAIRHOPE
Practice Address - State:AL
Practice Address - Zip Code:36532-2413
Practice Address - Country:US
Practice Address - Phone:251-990-8188
Practice Address - Fax:251-990-8159
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-26
Last Update Date:2007-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2185111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAV01839Medicare UPIN