Provider Demographics
NPI:1760880769
Name:DOC ON THE SPOT
Entity Type:Organization
Organization Name:DOC ON THE SPOT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALI
Authorized Official - Middle Name:DEAN
Authorized Official - Last Name:SAKHAI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:256-325-0526
Mailing Address - Street 1:190 LIME QUARRY RD STE 111
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:AL
Mailing Address - Zip Code:35758-8975
Mailing Address - Country:US
Mailing Address - Phone:256-325-0526
Mailing Address - Fax:256-325-0594
Practice Address - Street 1:190 LIME QUARRY RD STE 111
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:AL
Practice Address - Zip Code:35758-8975
Practice Address - Country:US
Practice Address - Phone:256-325-0526
Practice Address - Fax:256-325-0594
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-08
Last Update Date:2014-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2407111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL999999999OtherNONE