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Organization

HUEYTOWN CHIROPRACTIC CLINIC, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PETER JAMES DEFRANCO II D.C. (MANAGING MEMBER)
(205) 491-6881
Entity
Organization

Contact information

Practice address
3166 ALLISON BONNETT MEMORIAL DR, HUEYTOWN, AL 35023-1641
(205) 491-6881
(205) 491-6881
Mailing address
3166 ALLISON BONNETT MEMORIAL DR, HUEYTOWN, AL 35023-1641
(205) 491-6881
(205) 491-6881

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1105
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
44788
BLUE CROSS BLUE SHIELD
AL
01
K313
MEDICARE
AL
01
T68393
UPIN
AL
Enumeration date
05/02/2008
Last updated
03/17/2010
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