Provider Demographics
NPI:1013977362
Name:STUBBS, STAN R (DC)
Entity Type:Individual
Prefix:DR
First Name:STAN
Middle Name:R
Last Name:STUBBS
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 1:2969 PELHAM PKWY
Mailing Address - Street 2:
Mailing Address - City:PELHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35124-1795
Mailing Address - Country:US
Mailing Address - Phone:205-663-5444
Mailing Address - Fax:
Practice Address - Street 1:2969 PELHAM PKWY
Practice Address - Street 2:
Practice Address - City:PELHAM
Practice Address - State:AL
Practice Address - Zip Code:35124-1795
Practice Address - Country:US
Practice Address - Phone:205-663-5444
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-23
Last Update Date:2017-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1652111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL4410119OtherUNITED HEALTH CARE
AL51527499OtherBCBS
U58466Medicare UPIN
AL4410119OtherUNITED HEALTH CARE