Provider Demographics
NPI:1609317353
Name:ALABAMA CHIROPRACTIC ASSOCIATES, INC.
Entity Type:Organization
Organization Name:ALABAMA CHIROPRACTIC ASSOCIATES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:H
Authorized Official - Last Name:PEACOCK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:334-728-0731
Mailing Address - Street 1:PO BOX 3353
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:AL
Mailing Address - Zip Code:36831-3353
Mailing Address - Country:US
Mailing Address - Phone:334-728-0731
Mailing Address - Fax:
Practice Address - Street 1:1685 E UNIVERSITY DR STE E
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:AL
Practice Address - Zip Code:36830-5217
Practice Address - Country:US
Practice Address - Phone:334-728-0731
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-14
Last Update Date:2017-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty