1063570471 NPI number — DR. MICHAEL LAMBERT

Table of content: (NPI 1063570471)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1063570471 NPI number — DR. MICHAEL LAMBERT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DR. MICHAEL LAMBERT
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
FAMILY CHIROPRACTIC
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1063570471
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/05/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 3335
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
OXFORD
Provider Business Mailing Address State Name:
AL
Provider Business Mailing Address Postal Code:
36203-0335
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
256-835-7008
Provider Business Mailing Address Fax Number:
256-832-0215

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
817 SNOW ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
OXFORD
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
36203-1211
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
256-835-7008
Provider Business Practice Location Address Fax Number:
256-832-0215
Provider Enumeration Date:
12/05/2006

Additional Information

Authorized Official

Authorized Official Last Name:
LAMBERT
Authorized Official First Name:
MICHAEL
Authorized Official Middle Name:
Authorized Official Title or Position:
DOCTOR OF CHIROPRACTIC
Authorized Official Telephone Number:
256-835-7008

Provider Taxonomy Codes

  • Taxonomy code: 111NT0100X , with the licence number:  1472 , registered in the state of AL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 51099085 . This is a "FEDERAL BLUE CROSS" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 51099085 . This is a "BLUE CROSS BLUE SHIELD" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 2451164 . This is a "CIGNA AETNA" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 51115390 . This is a "BLUE CROSS BLUE SHIELD" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 51115390 . This is a "FEDERAL BLUE CROSS" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 833421 . This is a "FIRST HEALTH MAILHANDLERS" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".




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