Provider Demographics
NPI:1770651564
Name:WILLIFORD, JOEL MAJOR (DC)
Entity Type:Individual
Prefix:DR
First Name:JOEL
Middle Name:MAJOR
Last Name:WILLIFORD
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 BEACON PKWY W STE 100
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35209-3129
Mailing Address - Country:US
Mailing Address - Phone:205-909-7373
Mailing Address - Fax:205-764-9092
Practice Address - Street 1:201 BEACON PKWY W STE 100
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35209-3129
Practice Address - Country:US
Practice Address - Phone:205-909-7373
Practice Address - Fax:205-764-9092
Is Sole Proprietor?:No
Enumeration Date:2006-12-01
Last Update Date:2017-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1754111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALAL0728Medicare UPIN