Lucaus Steven    Knighten    DC
Contract Details
ChiroPlus of Alabama
Facility name
Provider ID
P000000926
NPI
1861597544
Tax ID
630959986
Effective Date
9/1/1998
Last Updated
9/22/2014
Direct Contract
Yes
Term Date
9/22/2014
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
3326 Rainbow Drive
Rainbow City, AL 35906
United States
County
Etowah
Phone
2564421118 (Phone)
Billing Details
Address
3326 Rainbow Drive
Rainbow City, AL 35906
Billing Phone
2564421118
Specialty Type
Chiropractic Medicine
Map
Address