Healthcare Provider Details

I. General information

NPI: 1700120003
Provider Name (Legal Business Name): ESTES CHIROPRACTIC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/27/2012
Last Update Date: 11/27/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4000 MEADOW LAKE DR STE 123
BIRMINGHAM AL
35242-0311
US

IV. Provider business mailing address

4000 MEADOW LAKE DR STE 123
BIRMINGHAM AL
35242-0311
US

V. Phone/Fax

Practice location:
  • Phone: 205-980-9999
  • Fax: 205-980-9999
Mailing address:
  • Phone: 205-980-9999
  • Fax: 205-980-9999

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NI0013X
TaxonomyIndependent Medical Examiner Chiropractor
License Number1580
License Number StateAL

VIII. Authorized Official

Name: DR. SHEILA SARIKHANI ESTES I
Title or Position: GENRAL PARTNER
Credential: DC
Phone: 205-249-7920