Healthcare Provider Details

I. General information

NPI: 1346235504
Provider Name (Legal Business Name): DARYL PALMER BROWN CHIROPRACTOR
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/14/2005
Last Update Date: 09/13/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1420 MCFARLAND BLVD SUITE 8
NORTHPORT AL
35476-3265
US

IV. Provider business mailing address

1420 MCFARLAND BLVD SUITE 8
NORTHPORT AL
35476-3265
US

V. Phone/Fax

Practice location:
  • Phone: 205-333-7227
  • Fax:
Mailing address:
  • Phone: 205-333-7227
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number988
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: