Provider Demographics
NPI:1023856036
Name:BADON, NATALIE DANIELLE (DC)
Entity type:Individual
Prefix:
First Name:NATALIE
Middle Name:DANIELLE
Last Name:BADON
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5913 ANTOINE RD
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36693-3506
Mailing Address - Country:US
Mailing Address - Phone:251-709-3509
Mailing Address - Fax:251-660-4998
Practice Address - Street 1:6345 COTTAGE HILL RD
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36609-3114
Practice Address - Country:US
Practice Address - Phone:251-660-4999
Practice Address - Fax:251-660-4998
Is Sole Proprietor?:No
Enumeration Date:2024-07-16
Last Update Date:2024-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2860111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor