Provider Demographics
NPI:1174783153
Name:DUFF CHIROPRACTIC LLC
Entity type:Organization
Organization Name:DUFF CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED AGENT MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:LEONARD
Authorized Official - Middle Name:ASHWORTH
Authorized Official - Last Name:DUFF
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:251-945-3034
Mailing Address - Street 1:20531 WEST BLVD
Mailing Address - Street 2:
Mailing Address - City:SILVERHILL
Mailing Address - State:AL
Mailing Address - Zip Code:36576
Mailing Address - Country:US
Mailing Address - Phone:251-945-3034
Mailing Address - Fax:251-945-3034
Practice Address - Street 1:20531 WEST BLVD
Practice Address - Street 2:
Practice Address - City:SILVERHILL
Practice Address - State:AL
Practice Address - Zip Code:36576
Practice Address - Country:US
Practice Address - Phone:251-945-3034
Practice Address - Fax:251-945-3034
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-12
Last Update Date:2008-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2110111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty