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DR. MICHAEL SHANNON COBB D.C.
>> Chiropractor >> Chiropractic ProvidersRegistrant NPI Number: 1366655888
Individual Registrant:DR. MICHAEL SHANNON COBB D.C.
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
305 S THREE NOTCH ST ANDALUSIA, AL 36420-4427 US
Tel: 334-428-2225 Fax: 334-428-2222
Tel: 334-428-2225 Fax: 334-428-2222
Contact information for business:
PO BOX 42 ANDALUSIA, AL 36420-1200 US
Tel: 334-428-2225 Fax: 334-428-2222
Tel: 334-428-2225 Fax: 334-428-2222
Registration Information:
NPI: 1366655888
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 111N00000X | Chiropractic Providers Chiropractor | AL | 1919 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| BCBS | 51003674 | AL | 01 |
