Provider Demographics
NPI:1952463929
Name:NORTH ALABAMA CHIROPRACTIC WELLNESS CENTER, INC
Entity Type:Organization
Organization Name:NORTH ALABAMA CHIROPRACTIC WELLNESS CENTER, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:D
Authorized Official - Last Name:HOOVER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:256-828-8833
Mailing Address - Street 1:14253 HIGHWAY 231 NORTH
Mailing Address - Street 2:
Mailing Address - City:HAZEL GREEN
Mailing Address - State:AL
Mailing Address - Zip Code:35750
Mailing Address - Country:US
Mailing Address - Phone:256-828-8833
Mailing Address - Fax:256-828-0020
Practice Address - Street 1:14253 HIGHWAY 231 NORTH
Practice Address - Street 2:
Practice Address - City:HAZEL GREEN
Practice Address - State:AL
Practice Address - Zip Code:35750
Practice Address - Country:US
Practice Address - Phone:256-828-8833
Practice Address - Fax:256-828-0020
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1236111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty