Individual
DR. ANTHONY FAZAL HOUSSAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
12205 COUNTY LINE RD, SUITE D, MADISON, AL 35758-7719
(256) 461-7775
(256) 461-7756
Mailing address
12205 COUNTY LINE RD, SUITE D, MADISON, AL 35758-7719
(256) 461-7775
(256) 461-7756
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1995
AL
111NR0400X
Rehabilitation Chiropractor
1995
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005775803
AETNA
—
01
—
051505583
BLUE CROSS BLUE SHIELD
AL
01
—
374479800
US DEPT OF LABOR
—
Enumeration date
02/03/2006
Last updated
05/10/2012
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