Contract Details
Facility name
Shelby Family Chiropractic
Provider ID
P000002408
NPI
1336216514
Tax ID
202513561
Effective Date
10/15/2006
Last Updated
9/29/2016
Direct Contract
Yes
Term Date
8/31/2016
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
224 1st Street North Suite 225
Alabaster, AL 35007
United States
County
Shelby
Phone
2056635444 (Phone)
Billing Details
Address
224 1st Street North
Suite 225
Alabaster, AL 35007
Billing Phone
2056635444
Specialty Type
Chiropractic Medicine
Map
Address