Provider Demographics
NPI:1952441925
Name:N. FRANK MCCRELESS PC
Entity Type:Organization
Organization Name:N. FRANK MCCRELESS PC
Other - Org Name:WINSTON COUNTY CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:NICKEY
Authorized Official - Middle Name:FRANK
Authorized Official - Last Name:MCCRELESS
Authorized Official - Suffix:II
Authorized Official - Credentials:DC
Authorized Official - Phone:205-489-3393
Mailing Address - Street 1:PO BOX 514
Mailing Address - Street 2:
Mailing Address - City:DOUBLE SPRINGS
Mailing Address - State:AL
Mailing Address - Zip Code:35553-0514
Mailing Address - Country:US
Mailing Address - Phone:205-489-3393
Mailing Address - Fax:205-489-5259
Practice Address - Street 1:25179 HIGHWAY 195
Practice Address - Street 2:
Practice Address - City:DOUBLE SPRINGS
Practice Address - State:AL
Practice Address - Zip Code:35553
Practice Address - Country:US
Practice Address - Phone:205-489-3393
Practice Address - Fax:205-489-5259
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-07
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1853111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL051077806OtherBLUE SHIELD PROVIDER NUMB
AL051077806OtherBLUE SHIELD PROVIDER NUMB