Organization
BENNETT CHIROPRACTIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALTER CHARLES BENNETT D.C. (PRESIDENT)
(256) 774-7189
Entity
Organization
Contact information
Practice address
120 W DUBLIN DR, 102, MADISON, AL 35758-3155
(256) 774-7189
Mailing address
120 W DUBLIN DR, 102, MADISON, AL 35758-3155
(256) 774-7189
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2025
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51507154
BLUE CROSS/BLUE SHEILD
AL
Enumeration date
01/08/2008
Last updated
04/18/2008
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