Provider Demographics
NPI:1912117755
Name:FROST, ANDREW HEATH (DC)
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:HEATH
Last Name:FROST
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 1:16 TURNER CIR
Mailing Address - Street 2:
Mailing Address - City:HENAGAR
Mailing Address - State:AL
Mailing Address - Zip Code:35978-5209
Mailing Address - Country:US
Mailing Address - Phone:256-657-3800
Mailing Address - Fax:256-657-4971
Practice Address - Street 1:16 TURNER CIR
Practice Address - Street 2:
Practice Address - City:HENAGAR
Practice Address - State:AL
Practice Address - Zip Code:35978-5209
Practice Address - Country:US
Practice Address - Phone:256-657-3800
Practice Address - Fax:256-657-4971
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1888111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51008169OtherBCBS AND MEDICARE