Richard Clarence Clifton III, D.C.
Individual provider Active NPI Chiropractor · Red Bay, AL
NPI 1275698771 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1275698771
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 1642 (AL)
- Practice address
- 929 4TH St NW
Red Bay, AL 35582-3953 - Phone
- (256) 356-2225
- Fax
- (256) 356-2225
- NPI assigned
- Dec 26, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1642 | AL | MD | Surgery Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1642 | AL | Yes |
Addresses
Primary practice location
929 4TH St NW
Red Bay, AL 35582-3953
Mailing address
929 4TH St NW
Red Bay, AL 35582-3953
Phone (256) 356-2225
Other providers in Red Bay, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.