MEDICARE: DR. JAMES DENNIS HENRY DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	1011	AL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1306910393
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES DENNIS HENRY DC

Provider Business Mailing Address
First Line	:	2316 KNOLLWOOD DR
Second Line	:
City	:	MOBILE
State	:	AL
Zip	:	36693-3120
Country	:	US
Telephone Number	:	251-661-0833
Fax Number	:	251-661-7036

Provider Business Practice Location Address
First Line	:	2316 KNOLLWOOD DR STE 5
Second Line	:
City	:	MOBILE
State	:	AL
Zip	:	36693-3120
Country	:	US
Telephone Number	:	251-661-0833
Fax Number	:	251-661-7036

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/20/2006
Last Update Date	:	02/28/2023

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