Provider Demographics
NPI:1407455280
Name:ALEC MICHAEL SHELL CHIROPRACTOR L.L.C.
Entity Type:Organization
Organization Name:ALEC MICHAEL SHELL CHIROPRACTOR L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ALEC
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:SHELL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:318-355-9190
Mailing Address - Street 1:116 MILN ST
Mailing Address - Street 2:
Mailing Address - City:CRANFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:07016-2141
Mailing Address - Country:US
Mailing Address - Phone:908-653-1440
Mailing Address - Fax:
Practice Address - Street 1:116 MILN ST
Practice Address - Street 2:
Practice Address - City:CRANFORD
Practice Address - State:NJ
Practice Address - Zip Code:07016-2141
Practice Address - Country:US
Practice Address - Phone:908-653-1440
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-22
Last Update Date:2020-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty