Individual
DR. GLEN EDWARD SINCLAIR II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1418A GREENSBORO AVE, TUSCALOOSA, AL 35401-2843
(205) 752-1300
(205) 345-5396
Mailing address
1418A GREENSBORO AVE, TUSCALOOSA, AL 35401-2843
(205) 752-1300
(205) 345-5396
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
2044
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51516303
BLUE CROSS IDENTIFIER
AL
Enumeration date
10/06/2006
Last updated
09/06/2012
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