Lori  R  Louis    MD
Contract Details
BHC--Occupational Medicine Rehab & Back Clinic
Facility name
Provider ID
P000001014
NPI
1336242130
Tax ID
721383202
Effective Date
2/1/2006
Last Updated
6/5/2014
Direct Contract
Yes
Term Date
12/30/2013
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
833 Princeton Avenue Southwest Building 2, Suite 150
Birmingham, AL 35211
United States
County
Jefferson
Phone
2057812699 (Phone)
Billing Details
Address
200 Beacon Parkway West
Suite 330
Birmingham, AL 35211
Billing Phone
2057812699
Specialty Type
Occupational Medicine
Map
Address