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Organization

CHIROPRACTIC CARE, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LYLE KEITH COOPER D.C. (DOCTOR)
(251) 968-2000
Entity
Organization

Contact information

Practice address
3533 GULF SHORES PARKWAY, GULF SHORES, AL 36542
(251) 968-2000
(251) 968-5953
Mailing address
PO BOX 899, GULF SHORES, AL 36547-0899
(251) 968-2000
(251) 968-5953

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1061
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11423356
CAQH
01
1851490981
SOLE PROP NPI - PRIOR TO INCORPORATION
AL
Enumeration date
01/27/2015
Last updated
08/12/2020
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