Contract Details
ChiroPlus of Alabama
Facility name
Brandon Clinic of Chiropractic
Provider ID
P000002022
NPI
1467518217
Tax ID
631231287
Effective Date
8/7/2000
Last Updated
10/6/2014
Direct Contract
Yes
Term Date
10/6/2014
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
600 Main Street Suite 107
Gardendale, AL 35071
United States
County
Jefferson
Phone
2056318808 (Phone)
Billing Details
Address
600 Main Street
Suite 107
Gardendale, AL 35071
Billing Phone
2056318808
Specialty Type
Chiropractic Medicine
Map
Address