Provider Demographics
NPI:1689331423
Name:CHIROPRACTIC OASIS OF GARDENDALE, LLC
Entity Type:Organization
Organization Name:CHIROPRACTIC OASIS OF GARDENDALE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:F
Authorized Official - Last Name:FOX
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:205-631-2433
Mailing Address - Street 1:PO BOX 1111
Mailing Address - Street 2:
Mailing Address - City:GARDENDALE
Mailing Address - State:AL
Mailing Address - Zip Code:35071-1111
Mailing Address - Country:US
Mailing Address - Phone:205-631-2433
Mailing Address - Fax:205-631-9124
Practice Address - Street 1:1080 MAIN STREET
Practice Address - Street 2:
Practice Address - City:GARDENDALE
Practice Address - State:AL
Practice Address - Zip Code:35071-3507
Practice Address - Country:US
Practice Address - Phone:205-631-2433
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-29
Last Update Date:2021-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty