Healthcare Provider Details

I. General information

NPI: 1114032117
Provider Name (Legal Business Name): TOYA T. BURTON DC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/20/2006
Last Update Date: 03/10/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1721 4TH AVE N
BESSEMER AL
35020-4838
US

IV. Provider business mailing address

1721 4TH AVE N
BESSEMER AL
35020-4838
US

V. Phone/Fax

Practice location:
  • Phone: 205-424-2540
  • Fax: 205-424-3774
Mailing address:
  • Phone: 205-424-2540
  • Fax: 205-424-3774

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2062
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: