Healthcare Provider Details

I. General information

NPI: 1952463929
Provider Name (Legal Business Name): NORTH ALABAMA CHIROPRACTIC WELLNESS CENTER, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14253 HIGHWAY 231 NORTH
HAZEL GREEN AL
35750
US

IV. Provider business mailing address

14253 HIGHWAY 231 NORTH
HAZEL GREEN AL
35750
US

V. Phone/Fax

Practice location:
  • Phone: 256-828-8833
  • Fax: 256-828-0020
Mailing address:
  • Phone: 256-828-8833
  • Fax: 256-828-0020

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number1236
License Number StateAL

VIII. Authorized Official

Name: DR. CHRISTOPHER D HOOVER
Title or Position: TREASURER
Credential: D.C.
Phone: 256-828-8833