Contract Details
ChiroPlus Of Alabama
Facility name
Protz Chiropractic Wellness Clinic
Provider ID
P000002354
NPI
1912055104
Tax ID
630853646
Effective Date
7/1/1999
Last Updated
4/16/2014
Direct Contract
Term Date
4/16/2014
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
12815 Highway 431
Sardis City, AL 35956
United States
County
Etowah
Phone
2565933551 (Phone)
Billing Details
Address
P.O. Box 155
Crossville, AL 35962
Billing Phone
Specialty Type
Chiropractic Medicine
Map
Address