Organization
SHIVER CHIROPRACTIC CLINIC, P.C.
Active
Other names
Hannen Health Care Clinic, P.C.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES ANDREW SHIVER D.C. (PRESIDENT)
(334) 393-9355
Entity
Organization
Contact information
Practice address
809 E LEE ST STE A, ENTERPRISE, AL 36330-2072
(334) 393-3955
(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
12/08/2006
Last updated
02/11/2011
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