Provider Demographics
NPI:1659856359
Name:QUEST FOR HEALTH CHIROPRACTIC
Entity Type:Organization
Organization Name:QUEST FOR HEALTH CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PART OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KEITH
Authorized Official - Middle Name:
Authorized Official - Last Name:HALLINGQUEST
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:205-259-6476
Mailing Address - Street 1:1110 N CHALKVILLE RD STE 112
Mailing Address - Street 2:
Mailing Address - City:TRUSSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35173-1063
Mailing Address - Country:US
Mailing Address - Phone:205-259-6476
Mailing Address - Fax:
Practice Address - Street 1:1110 N CHALKVILLE RD STE 112
Practice Address - Street 2:
Practice Address - City:TRUSSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35173-1063
Practice Address - Country:US
Practice Address - Phone:205-259-6476
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-27
Last Update Date:2018-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty