Healthcare Provider Details

I. General information

NPI: 1952058323
Provider Name (Legal Business Name): BEACH LIFE CHIROPRACTIC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/07/2022
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1115A N MCKENZIE ST
FOLEY AL
36535-3550
US

IV. Provider business mailing address

1115A N MCKENZIE ST
FOLEY AL
36535-3550
US

V. Phone/Fax

Practice location:
  • Phone: 251-943-8511
  • Fax: 251-943-8520
Mailing address:
  • Phone: 251-943-8511
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: DAVID JOHN BELOW
Title or Position: CHIROPRACTIC PROVIDER
Credential:
Phone: 251-943-8511