Organization
COASTAL CHIROPRACTIC L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN PATRICK NOBLES D.C. (OWNER)
(251) 375-0131
Entity
Organization
Contact information
Practice address
27535 US HIGHWAY 98, DAPHNE, AL 36526-4839
(251) 375-0131
(251) 375-0132
Mailing address
27535 US HIGHWAY 98, DAPHNE, AL 36526-4839
(251) 375-0131
(251) 375-0132
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2412
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51141426
BCBS
AL
Enumeration date
10/11/2013
Last updated
09/19/2023
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