MEDICARE: MY CHIROPRACTOR PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	51511115	OTHER	AL	BCBS

General Provider Information

NPI Number	:	1275745101
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MY CHIROPRACTOR PC

Provider Business Mailing Address
First Line	:	2801 JOHN HAWKINS PKWY STE 129H
Second Line	:
City	:	HOOVER
State	:	AL
Zip	:	35244-4021
Country	:	US
Telephone Number	:	205-444-0727
Fax Number	:	205-444-9499

Provider Business Practice Location Address
First Line	:	2801 JOHN HAWKINS PKWY
Second Line	:	STE 129H
City	:	HOOVER
State	:	AL
Zip	:	35244-4021
Country	:	US
Telephone Number	:	205-444-0727
Fax Number	:	205-444-9499

Authorized Official
Title or Position	:	OWNER/DOCTOR
Name	:	DR. CRAIG JOSEPH CATALFU
Credential	:	DC
Telephone Number	:	205-444-0727

Provider Enumeration Date	:	05/04/2007
Last Update Date	:	06/04/2019

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Directions to “MY CHIROPRACTOR PC ” Practice Location

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