Provider Demographics
NPI:1497992804
Name:VALLEY CHIROPRACTIC, INC.
Entity Type:Organization
Organization Name:VALLEY CHIROPRACTIC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:LOWELL
Authorized Official - Last Name:MCGUIRE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:256-389-8250
Mailing Address - Street 1:2813 WOODWARD AVE
Mailing Address - Street 2:
Mailing Address - City:MUSCLE SHOALS
Mailing Address - State:AL
Mailing Address - Zip Code:35661-3247
Mailing Address - Country:US
Mailing Address - Phone:256-389-8250
Mailing Address - Fax:256-389-8251
Practice Address - Street 1:2415 AVALON AVE
Practice Address - Street 2:SUITE B
Practice Address - City:MUSCLE SHOALS
Practice Address - State:AL
Practice Address - Zip Code:35661-3163
Practice Address - Country:US
Practice Address - Phone:256-389-8250
Practice Address - Fax:256-389-8251
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-08
Last Update Date:2022-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2254305R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL510G700573Medicare PIN