Healthcare Provider Details

I. General information

NPI: 1710019468
Provider Name (Legal Business Name): JOHN CHRISTIAN BOYLE D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/09/2007
Last Update Date: 12/13/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13596 HIGHWAY 231 431 N
HAZEL GREEN AL
35750-8617
US

IV. Provider business mailing address

13971 HIGHWAY 231 431 N
HAZEL GREEN AL
35750-8651
US

V. Phone/Fax

Practice location:
  • Phone: 256-828-4288
  • Fax: 256-828-4250
Mailing address:
  • Phone: 256-828-4288
  • Fax: 256-828-4250

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2102
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: