Provider Demographics
NPI:1548277916
Name:TOMLINSON-LONG, PATRICIA L (DC)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:L
Last Name:TOMLINSON-LONG
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12036 HIGHWAY 231 431 N
Mailing Address - Street 2:SUITE A
Mailing Address - City:MERIDIANVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35759-1202
Mailing Address - Country:US
Mailing Address - Phone:256-828-2236
Mailing Address - Fax:256-829-1328
Practice Address - Street 1:12036 HIGHWAY 231
Practice Address - Street 2:431 N #A
Practice Address - City:MERIDIANVILLE
Practice Address - State:AL
Practice Address - Zip Code:35759
Practice Address - Country:US
Practice Address - Phone:256-828-2236
Practice Address - Fax:256-829-1328
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2018-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7077111N00000X
AL1790111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL515-39301OtherBCBS OF ALABAMA
AL14-1988401OtherFEIN S-CORP
AL14-1988401OtherFEIN S-CORP
ALU73632Medicare UPIN