Provider Demographics
NPI:1629343280
Name:PARMER FAMILY CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:PARMER FAMILY CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:BRANNON
Authorized Official - Middle Name:
Authorized Official - Last Name:PARMER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:251-580-4145
Mailing Address - Street 1:304 N WILSON AVE
Mailing Address - Street 2:
Mailing Address - City:ATMORE
Mailing Address - State:AL
Mailing Address - Zip Code:36502-5208
Mailing Address - Country:US
Mailing Address - Phone:251-253-8868
Mailing Address - Fax:251-580-5118
Practice Address - Street 1:830 DOLIVE ST
Practice Address - Street 2:
Practice Address - City:BAY MINETTE
Practice Address - State:AL
Practice Address - Zip Code:36507
Practice Address - Country:US
Practice Address - Phone:251-580-4145
Practice Address - Fax:251-580-5118
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-15
Last Update Date:2012-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2217261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL1952598724OtherNPI