Contract Details
Delila Enterprises
Facility name
Chiropractic First
Provider ID
P000002052
NPI
1144377151
Tax ID
631263185
Effective Date
3/19/2004
Last Updated
9/3/2015
Direct Contract
Yes
Term Date
9/3/2015
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
1104 Gault Avenue South Suite A
Fort Payne, AL 35967
United States
County
De Kalb
Phone
2568448215 (Phone)
Billing Details
Address
1104 Gault Avenue South
Suite A
Fort Payne, AL 35967
Billing Phone
2568448215
Specialty Type
Chiropractic Medicine
Map
Address