Provider Demographics
NPI:1679612832
Name:ROSS, DONALD DAVIDSON JR (DC)
Entity type:Individual
Prefix:DR
First Name:DONALD
Middle Name:DAVIDSON
Last Name:ROSS
Suffix:JR
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 GALLATIN ST SW
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-4416
Mailing Address - Country:US
Mailing Address - Phone:256-539-9407
Mailing Address - Fax:256-536-4602
Practice Address - Street 1:800 GALLATIN ST SW
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-4416
Practice Address - Country:US
Practice Address - Phone:256-539-9407
Practice Address - Fax:256-536-4602
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-05
Last Update Date:2010-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL0902111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL000070406Medicare ID - Type Unspecified
ALT68561Medicare UPIN