Organization
CHIROPRACTIC CLINIC P. A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOE WARREN JORDAN D.C. (PRESIDENT)
(256) 234-2671
Entity
Organization
Contact information
Practice address
440 CHURCH ST, ALEXANDER CITY, AL 35010-2582
(256) 234-2671
Mailing address
440 CHURCH ST, ALEXANDER CITY, AL 35010-2582
(256) 234-2671
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0935
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51070446
BCBS OF AL
AL
Enumeration date
01/02/2007
Last updated
08/22/2020
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