Individual
DR. CEVIN CHARLES CORMIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
6300 AIRPORT BLVD, C, MOBILE, AL 36608-3161
(251) 343-9990
(251) 343-9181
Mailing address
6300 AIRPORT BLVD, C, MOBILE, AL 36608-3161
(251) 343-9990
(251) 343-9181
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1894
AL
225100000X
Physical Therapist
PTH3099
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000021855
PTAN
AL
01
—
510I650143
PTAN FOR PT
AL
Enumeration date
12/15/2006
Last updated
06/16/2018
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