Jacky Ray Langston in Tuscumbia - Chiropractor

Jacky Ray Langston - NPI 1033107545

Jacky Ray Langston is a Chiropractor in Tuscumbia, Alabama. Jacky Ray Langston practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Jacky Ray Langston is 1033107545. The last update date is 2007-07-08.

Jacky Ray Langston's current location address is Po Box 256, Tuscumbia, Alabama. You can contact this provider via phone number 2563836238 and fax number 2563836234. The mailing address for Jacky Ray Langston is Po Box 256, Tuscumbia, Alabama. To know further, please read the information below!

Provider Profile Detail

Provider Name Jacky Ray Langston
Address Po Box 256, Tuscumbia, Alabama
Phone Number 2563836238
Fax Number 2563836234
Sole Proprietor Y
Credentials DC

NPI Number Detail

NPI Number 1033107545
Provider Enumeration Date 2005-10-10
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address Po Box 256
City Tuscumbia
State Alabama (AL)
Post Code 356740256
Phone Number 2563836238
Fax Number 2563836234

Provider's Primary Taxonomy Detail

Speciality Chiropractor
Taxonomy 111N00000X
Licence No 744
Definition:
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
51002591 AL BC/BS
51073375 AL AETNA

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FAQs about Jacky Ray Langston

What is the unique 10-digit identification code assigned to Jacky Ray Langston by the Centers for Medicare & Medicaid Services?

The Jacky Ray Langston has been issued the NPI (National Provider Identifier) 1033107545, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Jacky Ray Langston's facilities are situated?

The facilities of Jacky Ray Langston are physically located at the following address: Po Box 256, Tuscumbia, AL, 356740256.

What is Jacky Ray Langston's specialized field of practice, and what is the corresponding taxonomy classification code?

The Jacky Ray Langston's area of specialization is Chiropractor, and the corresponding taxonomy code that categorizes this field of practice is 111N00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1033107545 to Jacky Ray Langston?

The Centers for Medicare & Medicaid Services originally issued the 1033107545 to Jacky Ray Langston on 2005-10-10.

As of what date was the information regarding Jacky Ray Langston, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Jacky Ray Langston, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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