Provider Demographics
NPI:1811173248
Name:CHIROPARTNERS INC
Entity type:Organization
Organization Name:CHIROPARTNERS INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:W
Authorized Official - Last Name:RIZZUTO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:251-955-2225
Mailing Address - Street 1:21040 MIFLIN RD
Mailing Address - Street 2:SUITE 6
Mailing Address - City:FOLEY
Mailing Address - State:AL
Mailing Address - Zip Code:36535-9296
Mailing Address - Country:US
Mailing Address - Phone:251-955-2225
Mailing Address - Fax:
Practice Address - Street 1:21040 MIFLIN RD
Practice Address - Street 2:SUITE 6
Practice Address - City:FOLEY
Practice Address - State:AL
Practice Address - Zip Code:36535-9296
Practice Address - Country:US
Practice Address - Phone:251-955-2225
Practice Address - Fax:251-970-2225
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-16
Last Update Date:2014-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL515-38744OtherBLUE CROSS BLUE SHEILD
4606539OtherAETNA