Provider Demographics
NPI:1659435865
Name:TOTAL CARE CHIROPRACTIC
Entity Type:Organization
Organization Name:TOTAL CARE CHIROPRACTIC
Other - Org Name:FIVE POINTS CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SAM
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:MCGOUGH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:256-682-8890
Mailing Address - Street 1:502 PRATT AVE NE
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-6317
Mailing Address - Country:US
Mailing Address - Phone:256-533-2900
Mailing Address - Fax:256-533-1333
Practice Address - Street 1:502 PRATT AVE. NE
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-3039
Practice Address - Country:US
Practice Address - Phone:256-533-2900
Practice Address - Fax:256-533-1333
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-21
Last Update Date:2022-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2141111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51532336OtherBCBS PROVIDER NUMBER
AL51532336OtherBCBS PROVIDER NUMBER