MEDICARE: DR. VINCENT EUGENE WHITE JR. D.C.

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	2286	AL

General Provider Information

NPI Number	:	1700019924
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VINCENT EUGENE WHITE JR. D.C.

Provider Business Mailing Address
First Line	:	4835 SPARKMAN DR NW
Second Line	:
City	:	HUNTSVILLE
State	:	AL
Zip	:	35810-3948
Country	:	US
Telephone Number	:	256-534-6792
Fax Number	:	256-534-6795

Provider Business Practice Location Address
First Line	:	4835 SPARKMAN DR NW
Second Line	:
City	:	HUNTSVILLE
State	:	AL
Zip	:	35810-3948
Country	:	US
Telephone Number	:	256-534-6792
Fax Number	:	256-534-6795

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

Provider Enumeration Date	:	09/03/2009
Last Update Date	:	09/03/2009

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Directions to “ DR. VINCENT EUGENE WHITE JR. D.C.” Practice Location

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