Organization
BENNETT CHIROPRACTIC CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARY BENNETT D.C. (OWNER)
(256) 737-9500
Entity
Organization
Contact information
Practice address
909 GRAHAM ST SW, SUITE B, CULLMAN, AL 35055-5237
(256) 737-9500
Mailing address
909 GRAHAM ST SW, SUITE B, CULLMAN, AL 35055-5237
(256) 737-9500
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1225
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
511-60634
BLUE CROSS BLUE SHIELD
AL
Enumeration date
03/18/2015
Last updated
05/15/2015
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