Robert  A  Larsen    DC
Contract Details
ChiroPlus Of Alabama
Facility name
Provider ID
P000000966
NPI
1356419683
Tax ID
631024685
Effective Date
7/1/1999
Last Updated
4/16/2014
Direct Contract
Yes
Term Date
4/16/2014
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
2804 Highway 31 South
Decatur, AL 35603
United States
County
Morgan
Phone
2563507730 (Phone)
Billing Details
Address
2804 Highway 31 South
Decatur, AL 35603
Billing Phone
2563507730
Specialty Type
Chiropractic Medicine
Map
Address