Provider Demographics
NPI:1043347123
Name:HUFFSTUTLER CHIROPRACTIC HEALTHCARE, INC.
Entity Type:Organization
Organization Name:HUFFSTUTLER CHIROPRACTIC HEALTHCARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TINA
Authorized Official - Middle Name:
Authorized Official - Last Name:HUFFSTUTLER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:256-413-3098
Mailing Address - Street 1:1514 HIGHWAY 77
Mailing Address - Street 2:
Mailing Address - City:SOUTHSIDE
Mailing Address - State:AL
Mailing Address - Zip Code:35907-0408
Mailing Address - Country:US
Mailing Address - Phone:256-413-3098
Mailing Address - Fax:
Practice Address - Street 1:1514 HIGHWAY 77
Practice Address - Street 2:
Practice Address - City:SOUTHSIDE
Practice Address - State:AL
Practice Address - Zip Code:35907-0408
Practice Address - Country:US
Practice Address - Phone:256-413-3098
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1522111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALU47106Medicare UPIN
AL00093821Medicare ID - Type Unspecified