Provider Demographics
NPI:1437361441
Name:CORNERSTONE CHIROPRACTIC INC.
Entity Type:Organization
Organization Name:CORNERSTONE CHIROPRACTIC INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BETH
Authorized Official - Middle Name:SPENCER
Authorized Official - Last Name:RICE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-683-6332
Mailing Address - Street 1:319 21ST ST N
Mailing Address - Street 2:
Mailing Address - City:PELL CITY
Mailing Address - State:AL
Mailing Address - Zip Code:35125-1725
Mailing Address - Country:US
Mailing Address - Phone:205-683-6332
Mailing Address - Fax:866-910-2391
Practice Address - Street 1:211 19TH ST S
Practice Address - Street 2:
Practice Address - City:PELL CITY
Practice Address - State:AL
Practice Address - Zip Code:35128-2007
Practice Address - Country:US
Practice Address - Phone:205-683-6332
Practice Address - Fax:866-910-2391
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1584111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL515-22109OtherBCBS-AL
AL515-22109OtherBCBS-AL