Provider Demographics
NPI:1821392168
Name:PALMA, RICHARD JOSEPH III (DC)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:JOSEPH
Last Name:PALMA
Suffix:III
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 1:1101 HIGROVE PKWY
Mailing Address - Street 2:SUITE 113
Mailing Address - City:LEEDS
Mailing Address - State:AL
Mailing Address - Zip Code:35094-1700
Mailing Address - Country:US
Mailing Address - Phone:205-699-6600
Mailing Address - Fax:
Practice Address - Street 1:1101 HIGROVE PKWY
Practice Address - Street 2:SUITE 113
Practice Address - City:LEEDS
Practice Address - State:AL
Practice Address - Zip Code:35094-1700
Practice Address - Country:US
Practice Address - Phone:205-699-6600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-12-30
Last Update Date:2010-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2324111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL2324OtherALABAMA STATE BOARD OF CHIROPRACTIC EXAMINER LICENSE