Healthcare Provider Details

I. General information

NPI: 1083798094
Provider Name (Legal Business Name): JAMES DONALD CULBERSON D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/25/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

807 MIDWAY ST NW
HARTSELLE AL
35640-4515
US

IV. Provider business mailing address

807 MIDWAY ST NW
HARTSELLE AL
35640-4515
US

V. Phone/Fax

Practice location:
  • Phone: 256-773-8896
  • Fax: 256-773-8891
Mailing address:
  • Phone: 256-773-8896
  • Fax: 256-773-8891

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number1260
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: