Organization
PROHEALTH CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SEAN PATRICK WALLIS DC (OWNER)
(256) 713-8130
Entity
Organization
Contact information
Practice address
2124 CECIL ASHBURN DR SE, SUITE 150, HUNTSVILLE, AL 35802-2574
(256) 713-1830
Mailing address
2124 CECIL ASHBURN DR SE, SUITE 150, HUNTSVILLE, AL 35802-2574
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2213
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51542919
BC/BS
AL
Enumeration date
10/15/2007
Last updated
10/15/2007
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