Provider Demographics
NPI:1164797932
Name:ESTES CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:ESTES CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SHEILA
Authorized Official - Middle Name:SARIKHANI
Authorized Official - Last Name:ESTES
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:205-980-9999
Mailing Address - Street 1:4000 MEADOW LAKE DR
Mailing Address - Street 2:SUITE 123
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35242-5423
Mailing Address - Country:US
Mailing Address - Phone:205-980-9999
Mailing Address - Fax:205-980-9999
Practice Address - Street 1:4000 MEADOW LAKE DR
Practice Address - Street 2:SUITE 123
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35242-5423
Practice Address - Country:US
Practice Address - Phone:205-980-9999
Practice Address - Fax:205-980-9999
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-13
Last Update Date:2013-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALU51752Medicare UPIN