Individual
CHARLES ANDREW SHIVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
809 E LEE ST STE A, ENTERPRISE, AL 36330-2072
(334) 393-9355
(334) 393-4372
Mailing address
PO BOX 311427, ENTERPRISE, AL 36331-1427
(334) 393-9355
(334) 393-4372
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2041
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
515-54001
BLUE CROSS BLUE SHIELD
AL
Enumeration date
12/04/2006
Last updated
02/11/2011
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