Provider Demographics
NPI:1306443452
Name:SHELL, ALEC MICHAEL (DC)
Entity type:Individual
Prefix:DR
First Name:ALEC
Middle Name:MICHAEL
Last Name:SHELL
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27250 PERDIDO BEACH BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:ORANGE BEACH
Mailing Address - State:AL
Mailing Address - Zip Code:36561-3205
Mailing Address - Country:US
Mailing Address - Phone:251-968-2225
Mailing Address - Fax:251-981-7600
Practice Address - Street 1:27250 PERDIDO BEACH BLVD STE A
Practice Address - Street 2:
Practice Address - City:ORANGE BEACH
Practice Address - State:AL
Practice Address - Zip Code:36561-3205
Practice Address - Country:US
Practice Address - Phone:251-968-2225
Practice Address - Fax:251-981-7600
Is Sole Proprietor?:No
Enumeration Date:2020-10-01
Last Update Date:2021-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2712111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty