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NPI Code Detail

MEDICARE: ALABAMA BACK PAIN CLINIC

MEDICARE: ALABAMA BACK PAIN CLINIC
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
1111N00000XChiropractor1015AL

General Provider Information

NPI Number : 1144376328
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALABAMA BACK PAIN CLINIC
Provider Business Mailing Address
First Line : 1237 MULBERRY ST
Second Line :
City : MONTGOMERY
State : AL
Zip : 36106-1130
Country : US
Telephone Number : 334-265-4800
Fax Number : 334-265-1818
Provider Business Practice Location Address
First Line : 1237 MULBERRY ST
Second Line :
City : MONTGOMERY
State : AL
Zip : 36106-1130
Country : US
Telephone Number : 334-265-4800
Fax Number : 334-265-1818
Authorized Official
Title or Position : PRESIDENT
Name : DR. JOHN D NEILL
Credential : D.C.
Telephone Number : 334-265-4800
Provider Enumeration Date : 01/28/2007
Last Update Date : 03/18/2008

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Directions to “ALABAMA BACK PAIN CLINIC ” Practice Location

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