Provider Demographics
NPI:1144743766
Name:ANCHORED CHIROPRACTIC INC.
Entity Type:Organization
Organization Name:ANCHORED CHIROPRACTIC INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BLAKE
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:BAGGETT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:205-454-7970
Mailing Address - Street 1:14300 BEVERLY DR
Mailing Address - Street 2:
Mailing Address - City:FOSTERS
Mailing Address - State:AL
Mailing Address - Zip Code:35463-9791
Mailing Address - Country:US
Mailing Address - Phone:205-454-7970
Mailing Address - Fax:
Practice Address - Street 1:917 MCFARLAND BLVD
Practice Address - Street 2:
Practice Address - City:NORTHPORT
Practice Address - State:AL
Practice Address - Zip Code:35476-3373
Practice Address - Country:US
Practice Address - Phone:205-523-4651
Practice Address - Fax:205-377-7571
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-25
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2538111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty