Jim  G  Anderson    DC
Contract Details
ChiroPlus Of Alabama
Facility name
Provider ID
P000000038
NPI
1063429744
Tax ID
630676327
Effective Date
7/1/1999
Last Updated
4/16/2014
Direct Contract
Yes
Term Date
3/4/2014
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
76299 Tallassee Highway
Wetumpka, AL 36092
United States
County
Elmore
Phone
3345671984 (Phone)
Billing Details
Address
76299 Tallassee Highway
Wetumpka, AL 36092
Billing Phone
3345671984
Specialty Type
Chiropractic Medicine
Map
Address