Healthcare Provider Details

I. General information

NPI: 1124222765
Provider Name (Legal Business Name): BACK ON TRACK CHIROPRACTIC AND WELLNESS CENTER PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/14/2007
Last Update Date: 08/25/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2031B CAHABA ROAD
MOUNTAIN BROOK AL
35223-1109
US

IV. Provider business mailing address

2031B CAHABA ROAD
MOUNTAIN BROOK AL
35223-1109
US

V. Phone/Fax

Practice location:
  • Phone: 205-967-6776
  • Fax: 205-967-6673
Mailing address:
  • Phone: 205-967-6776
  • Fax: 205-967-6673

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberAL1405
License Number StateAL

VIII. Authorized Official

Name: DR. BETH R SCHERER
Title or Position: PRESIDENT
Credential: D.C.
Phone: 205-967-6776