Provider Demographics
NPI:1851482632
Name:CABRAL, JOHN E (DC)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:E
Last Name:CABRAL
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2017 CANYON RD STE 21
Mailing Address - Street 2:
Mailing Address - City:VESTAVIA HILLS
Mailing Address - State:AL
Mailing Address - Zip Code:35216-1928
Mailing Address - Country:US
Mailing Address - Phone:205-822-8320
Mailing Address - Fax:205-967-0408
Practice Address - Street 1:2017 CANYON RD STE 21
Practice Address - Street 2:
Practice Address - City:VESTAVIA HILLS
Practice Address - State:AL
Practice Address - Zip Code:35216-1928
Practice Address - Country:US
Practice Address - Phone:205-822-8320
Practice Address - Fax:205-967-0408
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-27
Last Update Date:2021-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL0842111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL515-34527OtherBC/BS
T68349Medicare UPIN