Provider Demographics
NPI:1922511526
Name:HERRING CHIROPRACTIC CENTER, LLC
Entity Type:Organization
Organization Name:HERRING CHIROPRACTIC CENTER, LLC
Other - Org Name:THE SPINE DOC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:ANITA
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:HERRING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-951-3330
Mailing Address - Street 1:1518 MONTCLAIR RD
Mailing Address - Street 2:
Mailing Address - City:IRONDALE
Mailing Address - State:AL
Mailing Address - Zip Code:35210-2225
Mailing Address - Country:US
Mailing Address - Phone:205-951-3330
Mailing Address - Fax:205-951-3352
Practice Address - Street 1:1518 MONTCLAIR RD
Practice Address - Street 2:
Practice Address - City:IRONDALE
Practice Address - State:AL
Practice Address - Zip Code:35210-2225
Practice Address - Country:US
Practice Address - Phone:205-951-3330
Practice Address - Fax:205-951-3352
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-06
Last Update Date:2017-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1555111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty