Provider Demographics
NPI:1851620215
Name:ALABAMA SCOLIOSIS SPECIALISTS
Entity Type:Organization
Organization Name:ALABAMA SCOLIOSIS SPECIALISTS
Other - Org Name:DR. JACQUELINE RICHARDS
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JACQUELINE
Authorized Official - Middle Name:
Authorized Official - Last Name:RICHARDS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:256-837-5932
Mailing Address - Street 1:4800 WHITESBURG DR S
Mailing Address - Street 2:#118
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35802-1698
Mailing Address - Country:US
Mailing Address - Phone:256-837-5932
Mailing Address - Fax:
Practice Address - Street 1:4800 WHITESBURG DR S
Practice Address - Street 2:#118
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35802-1698
Practice Address - Country:US
Practice Address - Phone:256-837-5932
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-15
Last Update Date:2011-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALAL 1793111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty