Healthcare Provider Details

I. General information

NPI: 1396220729
Provider Name (Legal Business Name): APNR, LLC DBA HEALTHCHOICE PPO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2018
Last Update Date: 10/02/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2236 CAHABA VALLEY DR
BIRMINGHAM AL
35242-2671
US

IV. Provider business mailing address

2236 CAHABA VALLEY DR
BIRMINGHAM AL
35242-2671
US

V. Phone/Fax

Practice location:
  • Phone: 205-259-3991
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code302R00000X
TaxonomyHealth Maintenance Organization
License Number
License Number State

VIII. Authorized Official

Name: TERRY YOUNG
Title or Position: PRESIDENT
Credential:
Phone: 205-259-3991