Contract Details
Facility name
Fisher Chiropractic Wellness Center
Provider ID
P000002141
NPI
1619175346
Tax ID
412238393
Effective Date
10/15/2007
Last Updated
9/3/2015
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
4643 Camp Coleman Road Suite 121
Trussville, AL 35173
United States
County
Jefferson
Phone
2056554666 (Phone)
Billing Details
Address
4643 Camp Coleman Road
Suite 121
Trussville, AL 35173
Billing Phone
2056554666
Specialty Type
Chiropractic Medicine
Map
Address