Phillip  L  Shouppe    DC
Contract Details
ChiroPlus Of Alabama
Facility name
Provider ID
P000001602
NPI
1699818104
Tax ID
630910605
Effective Date
7/1/1999
Last Updated
4/16/2014
Direct Contract
Term Date
4/16/2014
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
4266 Cottage Hill Road Suite 4
Mobile, AL 36609
United States
County
Mobile
Phone
2516661656 (Phone)
Billing Details
Address
P.O. Box 9607
Mobile, AL 36691
Billing Phone
Specialty Type
Chiropractic Medicine
Map
Address