Provider Demographics
NPI:1750436325
Name:PROTZ, PAUL ANDREW JR (DC)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:ANDREW
Last Name:PROTZ
Suffix:JR
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:4282 BRASHIERS CHAPEL RD
Mailing Address - Street 2:
Mailing Address - City:ARAB
Mailing Address - State:AL
Mailing Address - Zip Code:35016-3418
Mailing Address - Country:US
Mailing Address - Phone:256-738-3388
Mailing Address - Fax:
Practice Address - Street 1:12815 US HIGHWAY 431
Practice Address - Street 2:
Practice Address - City:SARDIS CITY
Practice Address - State:AL
Practice Address - Zip Code:35956-2046
Practice Address - Country:US
Practice Address - Phone:256-593-3551
Practice Address - Fax:256-593-4603
Is Sole Proprietor?:No
Enumeration Date:2007-01-24
Last Update Date:2018-10-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AL1632111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALU58749 PROMedicare UPIN
AL51030420PROMedicare ID - Type Unspecified