Provider Demographics
NPI:1275745101
Name:MY CHIROPRACTOR PC
Entity Type:Organization
Organization Name:MY CHIROPRACTOR PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:CATALFU
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:205-444-0727
Mailing Address - Street 1:2801 JOHN HAWKINS PKWY STE 129H
Mailing Address - Street 2:
Mailing Address - City:HOOVER
Mailing Address - State:AL
Mailing Address - Zip Code:35244-4021
Mailing Address - Country:US
Mailing Address - Phone:205-444-0727
Mailing Address - Fax:205-444-9499
Practice Address - Street 1:2801 JOHN HAWKINS PKWY
Practice Address - Street 2:STE 129H
Practice Address - City:HOOVER
Practice Address - State:AL
Practice Address - Zip Code:35244-4021
Practice Address - Country:US
Practice Address - Phone:205-444-0727
Practice Address - Fax:205-444-9499
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-04
Last Update Date:2019-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51511115OtherBCBS
AL51511115OtherBCBS