Healthcare Provider Details

I. General information

NPI: 1497261986
Provider Name (Legal Business Name): WILLIAM CHASE HORTON DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/19/2017
Last Update Date: 01/08/2021
Certification Date: 01/08/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2531 ROCKY RIDGE RD STE 112
VESTAVIA AL
35243-4446
US

IV. Provider business mailing address

1710 2ND AVE N APT 214
BIRMINGHAM AL
35203-2043
US

V. Phone/Fax

Practice location:
  • Phone: 205-823-8284
  • Fax:
Mailing address:
  • Phone: 205-213-9720
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NN1001X
TaxonomyNutrition Chiropractor
License Number2541
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: