Provider Demographics
NPI:1982642971
Name:CORFMAN, PAUL HOWARD (DC)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:HOWARD
Last Name:CORFMAN
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 1:3111 FLORENCE BLVD
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:AL
Mailing Address - Zip Code:35634-2546
Mailing Address - Country:US
Mailing Address - Phone:256-767-7230
Mailing Address - Fax:256-767-7267
Practice Address - Street 1:3111 FLORENCE BLVD
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:AL
Practice Address - Zip Code:35634-2546
Practice Address - Country:US
Practice Address - Phone:256-767-7230
Practice Address - Fax:256-767-7267
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-03
Last Update Date:2013-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1639111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
P00284783OtherRR MEDICARE
4265074OtherCIGNA
AL51003159OtherBCBS OF AL
5470134OtherAETNA
TN4128246OtherBCBS TN
AL051557394OtherPTAN
4265074OtherCIGNA