Provider Demographics
NPI:1114969854
Name:HERRING CHIROPRACTIC CENTER
Entity Type:Organization
Organization Name:HERRING CHIROPRACTIC CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RICARDO
Authorized Official - Middle Name:J
Authorized Official - Last Name:HERRING
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:205-951-3330
Mailing Address - Street 1:1518 MONTCLAIR RD
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35210-2225
Mailing Address - Country:US
Mailing Address - Phone:205-951-3330
Mailing Address - Fax:205-951-3352
Practice Address - Street 1:1518 MONTCLAIR RD
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35210-2225
Practice Address - Country:US
Practice Address - Phone:205-951-3330
Practice Address - Fax:205-951-3352
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-10
Last Update Date:2010-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL510-74897OtherBLUE CROSS
AL000074897Medicare PIN
ALU54090Medicare UPIN