Provider Demographics
NPI:1043371933
Name:LIMESTONE CHIROPRACTIC HEALTH CENTER P C
Entity Type:Organization
Organization Name:LIMESTONE CHIROPRACTIC HEALTH CENTER P C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DC
Authorized Official - Prefix:DR
Authorized Official - First Name:NESTOR
Authorized Official - Middle Name:JAVIER
Authorized Official - Last Name:PAGAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:256-233-7994
Mailing Address - Street 1:600 S CLINTON ST
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:AL
Mailing Address - Zip Code:35611-3506
Mailing Address - Country:US
Mailing Address - Phone:256-233-7994
Mailing Address - Fax:
Practice Address - Street 1:600 S CLINTON ST
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:AL
Practice Address - Zip Code:35611-3506
Practice Address - Country:US
Practice Address - Phone:256-233-7994
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-13
Last Update Date:2016-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1954111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL051513365OtherBCBS
AL051513365OtherBCBS
ALP00207046Medicare ID - Type UnspecifiedRAILROAD MEDICARE
AL051513365Medicare ID - Type Unspecified