Healthcare Provider Details

I. General information

NPI: 1013965953
Provider Name (Legal Business Name): CARL & ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2006
Last Update Date: 08/02/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7856 WESTSIDE PARK DR SUITE C
MOBILE AL
36695-8541
US

IV. Provider business mailing address

7856 WESTSIDE PARK DR SUITE C
MOBILE AL
36695-8541
US

V. Phone/Fax

Practice location:
  • Phone: 251-633-8090
  • Fax: 251-633-6941
Mailing address:
  • Phone: 251-633-8090
  • Fax: 251-633-6941

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336M0002X
TaxonomyMail Order Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: JERRY CARL JR.
Title or Position: CEO/PRESDENT
Credential:
Phone: 251-633-8090