Provider Demographics
NPI:1578503496
Name:LAUGHLIN, JOEL PARKER (MD)
Entity type:Individual
Prefix:DR
First Name:JOEL
Middle Name:PARKER
Last Name:LAUGHLIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:JOEL
Other - Middle Name:P
Other - Last Name:LAUGHLIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 850489
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36685-0489
Mailing Address - Country:US
Mailing Address - Phone:251-342-3949
Mailing Address - Fax:251-631-3361
Practice Address - Street 1:5100 RANGELINE ROAD N
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36619-9504
Practice Address - Country:US
Practice Address - Phone:251-661-4454
Practice Address - Fax:251-661-9843
Is Sole Proprietor?:No
Enumeration Date:2006-06-08
Last Update Date:2019-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL00027030207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL510-05964OtherBLUE CROSS
AL126908Medicaid
AL511-11838OtherBLUE CROSS OF ALABAMA
AL126908Medicaid
AL511-11838OtherBLUE CROSS OF ALABAMA