Contract Details
ChiroPlus Of Alabama
Facility name
Ivie Chiropractic Clinic
Provider ID
P000002218
Tax ID
630695853
Effective Date
7/1/1999
Last Updated
4/16/2014
Direct Contract
Yes
Term Date
3/4/2014
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
47 Park Road Suite A
Pleasant Grove, AL 35127
United States
County
Jefferson
Phone
2057445602 (Phone)
Billing Details
Address
P.O. Box 332
Pleasant Grove, AL 35127
Billing Phone
2057445602
Specialty Type
Chiropractic Medicine
Map
Address