MEDICARE: FIRST CALL CONCEPTS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	1877	AL
2	111N00000X	Chiropractor	0140	AL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	51045396RIC	OTHER	AL	BLUE CROSS

General Provider Information

NPI Number	:	1073563227
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FIRST CALL CONCEPTS

Provider Business Mailing Address
First Line	:	4835 SPARKMAN DR
Second Line	:
City	:	HUNTSVILLE
State	:	AL
Zip	:	35810-3948
Country	:	US
Telephone Number	:	256-534-6792
Fax Number	:	256-534-6795

Provider Business Practice Location Address
First Line	:	4835 SPARKMAN DR
Second Line	:
City	:	HUNTSVILLE
State	:	AL
Zip	:	35810-3948
Country	:	US
Telephone Number	:	256-534-6792
Fax Number	:	256-534-6795

Authorized Official
Title or Position	:	OWNER MANAGER
Name	:	DR. ROBERT ELMER RICHARDS
Credential	:	DC
Telephone Number	:	256-534-6792

Provider Enumeration Date	:	05/10/2006
Last Update Date	:	08/22/2020

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Practice Location Address:

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Practice Location Address:

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Directions to “FIRST CALL CONCEPTS ” Practice Location

Language	Start Address	Practice Location

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