Healthcare Provider Details
I. General information
NPI: 1619069531
Provider Name (Legal Business Name): AILEEN SZABO DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 09/28/2006
Last Update Date: 03/16/2021
Certification Date: 03/16/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
100 BROOK DR SUITE A
HELENA AL
35080
US
IV. Provider business mailing address
PO BOX 311
HELENA AL
35080-0311
US
V. Phone/Fax
- Phone: 205-277-9780
- Fax: 205-882-5834
- Phone: 205-277-9780
- Fax: 205-882-5834
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | 1631 |
| License Number State | AL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: