Provider Demographics
NPI:1831298777
Name:CASE, RAY E (DC)
Entity Type:Individual
Prefix:DR
First Name:RAY
Middle Name:E
Last Name:CASE
Suffix:
Gender:M
Credentials:DC
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Mailing Address - Street 1:112 INDUSTRIAL PKWY
Mailing Address - Street 2:
Mailing Address - City:SARALAND
Mailing Address - State:AL
Mailing Address - Zip Code:36571-3702
Mailing Address - Country:US
Mailing Address - Phone:251-675-5407
Mailing Address - Fax:251-679-9725
Practice Address - Street 1:112 INDUSTRIAL PKWY
Practice Address - Street 2:
Practice Address - City:SARALAND
Practice Address - State:AL
Practice Address - Zip Code:36571-3702
Practice Address - Country:US
Practice Address - Phone:251-675-5407
Practice Address - Fax:251-679-9725
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1034111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51098639OtherBLUE CROSS BLUE SHIELD
AL51098639OtherBLUE CROSS BLUE SHIELD
ALT68356Medicare UPIN