Provider Demographics
NPI:1376631069
Name:HOOVER, CHRISTOPHER D (DC)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:D
Last Name:HOOVER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 RED HILL WAY
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:AL
Mailing Address - Zip Code:35758-2554
Mailing Address - Country:US
Mailing Address - Phone:256-772-2370
Mailing Address - Fax:256-772-2371
Practice Address - Street 1:100 RED HILL WAY
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:AL
Practice Address - Zip Code:35758-2554
Practice Address - Country:US
Practice Address - Phone:256-772-2370
Practice Address - Fax:256-772-2371
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-10
Last Update Date:2023-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1236111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL74211OtherBLUE CROSS BLUE SHIELD
AL74211OtherBLUE CROSS BLUE SHIELD
ALT87419Medicare UPIN