Provider Demographics
NPI:1336277615
Name:DEMBOWSKI, PHILIP MICHAEL (DC)
Entity Type:Individual
Prefix:DR
First Name:PHILIP
Middle Name:MICHAEL
Last Name:DEMBOWSKI
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:PO BOX 374
Mailing Address - Street 2:1071 NORTH HICKORY - HWY 59 SUITE 1
Mailing Address - City:LOXLEY
Mailing Address - State:AL
Mailing Address - Zip Code:36551-0374
Mailing Address - Country:US
Mailing Address - Phone:251-964-6273
Mailing Address - Fax:251-964-6274
Practice Address - Street 1:1071 N. HICKORY - HWY 59
Practice Address - Street 2:
Practice Address - City:LOXLEY
Practice Address - State:AL
Practice Address - Zip Code:36551-0374
Practice Address - Country:US
Practice Address - Phone:251-964-6273
Practice Address - Fax:251-964-6274
Is Sole Proprietor?:No
Enumeration Date:2007-03-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1743111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor