Healthcare Provider Details

I. General information

NPI: 1215919063
Provider Name (Legal Business Name): MICHAEL MARCEL CINADER D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/17/2005
Last Update Date: 03/28/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

806 HORTON RD U.S. HIGHWAY 75 SOUTH
ALBERTVILLE AL
35950-2355
US

IV. Provider business mailing address

806 HORTON RD U.S. HIGHWAY 75 SOUTH
ALBERTVILLE AL
35950-2355
US

V. Phone/Fax

Practice location:
  • Phone: 256-891-4900
  • Fax: 256-891-4609
Mailing address:
  • Phone: 256-891-4900
  • Fax: 256-891-4609

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number0737
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: