Contract Details
ChiroPlus Of Alabama
Facility name
Hollowell Chiropractic
Provider ID
P000002197
NPI
1740302314
Tax ID
631114570
Effective Date
7/1/1999
Last Updated
4/16/2014
Direct Contract
Yes
Term Date
4/16/2014
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
557 Glover Avenue Suite 27
Enterprise, AL 36330
United States
County
Coffee
Phone
3343934425 (Phone)
Billing Details
Address
557 Glover Avenue
Suite 27
Enterprise, AL 36330
Billing Phone
3343934425
Specialty Type
Chiropractic Medicine
Map
Address