Provider Demographics
NPI:1699912683
Name:STRICKLAND, SANDRA (DC)
Entity type:Individual
Prefix:
First Name:SANDRA
Middle Name:
Last Name:STRICKLAND
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4935 CENTURY ST NW
Mailing Address - Street 2:SUITE 101
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35816-1901
Mailing Address - Country:US
Mailing Address - Phone:256-830-4637
Mailing Address - Fax:256-830-4638
Practice Address - Street 1:4935 CENTURY ST NW
Practice Address - Street 2:SUITE 101
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35816-1901
Practice Address - Country:US
Practice Address - Phone:256-830-4637
Practice Address - Fax:256-830-4638
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-13
Last Update Date:2009-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1066111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALT68589Medicare UPIN