Healthcare Provider Details

I. General information

NPI: 1336414770
Provider Name (Legal Business Name): ALABAMA ASSOCIATES CHIROPRACTIC CLINIC INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/19/2012
Last Update Date: 04/21/2025
Certification Date: 04/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1215 FOREST AVE NW
FORT PAYNE AL
35967-3035
US

IV. Provider business mailing address

1215 FOREST AVE NW
FORT PAYNE AL
35967-3035
US

V. Phone/Fax

Practice location:
  • Phone: 256-845-4478
  • Fax:
Mailing address:
  • Phone: 256-845-4478
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code305R00000X
TaxonomyPreferred Provider Organization
License Number1708
License Number StateAL

VIII. Authorized Official

Name: DR. JOHN H BRICKLEY
Title or Position: PRESIDENT
Credential: D.C.
Phone: 256-845-4478