Walter  C  Olsen    DC
Contract Details
P3 Chiropractic & Sports Care
Facility name
Provider ID
P000001289
NPI
1629218508
Tax ID
264417754
Effective Date
12/15/2009
Last Updated
9/11/2014
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
7900 Bailey Cove Road Southeast Suite 7A
Huntsville, AL 35802
United States
County
Madison
Phone
2562708700 (Phone)
Billing Details
Address
7900 Bailey Cove Road Southeast
Suite 7-A
Huntsville, AL 35802
Billing Phone
2562708700
Specialty Type
Chiropractic Medicine
Map
Address