Provider Demographics
NPI:1558423525
Name:BELOW CHIROPRACTIC CENTER INC
Entity Type:Organization
Organization Name:BELOW CHIROPRACTIC CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INSURANCE CLERK
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:M
Authorized Official - Last Name:CHEATHAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-734-6813
Mailing Address - Street 1:406 2ND AVE NW
Mailing Address - Street 2:
Mailing Address - City:CULLMAN
Mailing Address - State:AL
Mailing Address - Zip Code:35055-2825
Mailing Address - Country:US
Mailing Address - Phone:256-734-6813
Mailing Address - Fax:256-734-6880
Practice Address - Street 1:406 2ND AVE NW
Practice Address - Street 2:
Practice Address - City:CULLMAN
Practice Address - State:AL
Practice Address - Zip Code:35055-2825
Practice Address - Country:US
Practice Address - Phone:256-734-6813
Practice Address - Fax:256-734-6880
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-15
Last Update Date:2010-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL818111N00000X
AL2061111N00000X
AL2063111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51517844OtherBLUE CROSS BLUE SHIELD
AL51517846OtherBLUE CROSS BLUE SHIELD
AL51070272OtherBLUE CROSS BLUE SHIELD
AL051517844Medicare ID - Type UnspecifiedPROVIDER ID
ALU97497Medicare UPIN
AL000070272Medicare ID - Type UnspecifiedPROVIDER ID
ALT68333Medicare UPIN
AL51070272OtherBLUE CROSS BLUE SHIELD
ALU97496Medicare UPIN
ALL270Medicare PIN