Organization
ASSOCIATED CHIROPRACTIC CLINIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA S WADE (PRESIDENT)
(256) 847-8477
Entity
Organization
Contact information
Practice address
80 SPRING BRANCH RD, SUITE E, ALEXANDRIA, AL 36250-7311
(256) 847-8477
(256) 847-8475
Mailing address
80 SPRING BRANCH RD, SUITE E, ALEXANDRIA, AL 36250-7311
(256) 847-8477
(256) 847-8475
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1820
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1275532061
NPI
AL
Enumeration date
07/23/2007
Last updated
08/10/2007
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