Provider Demographics
NPI:1689854481
Name:AUBURN CHIROPRACTIC HEALTH CLINIC, INC
Entity Type:Organization
Organization Name:AUBURN CHIROPRACTIC HEALTH CLINIC, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:PITT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:334-501-4691
Mailing Address - Street 1:764 E GLENN AVE
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:AL
Mailing Address - Zip Code:36830-5017
Mailing Address - Country:US
Mailing Address - Phone:334-501-4691
Mailing Address - Fax:334-501-4693
Practice Address - Street 1:764 E GLENN AVE
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:AL
Practice Address - Zip Code:36830-5017
Practice Address - Country:US
Practice Address - Phone:334-501-4691
Practice Address - Fax:334-501-4693
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-08
Last Update Date:2007-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1898111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALU7418Medicare UPIN
ALI401Medicare PIN