MEDICARE: DR. LE'S CHIROPRACTIC & WELLNESS, LLC

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	2537	AL

General Provider Information

NPI Number	:	1225540958
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR. LE'S CHIROPRACTIC & WELLNESS, LLC

Provider Business Mailing Address
First Line	:	300 N DEAN RD STE 2
Second Line	:
City	:	AUBURN
State	:	AL
Zip	:	36830-5045
Country	:	US
Telephone Number	:	334-209-1616
Fax Number	:	334-209-2776

Provider Business Practice Location Address
First Line	:	300 N DEAN RD STE 2
Second Line	:
City	:	AUBURN
State	:	AL
Zip	:	36830-5045
Country	:	US
Telephone Number	:	334-209-1616
Fax Number	:	334-209-2776

Authorized Official
Title or Position	:	OWNER
Name	:	DR. THANH QUOC LE
Credential	:	D.C.
Telephone Number	:	334-209-1616

Provider Enumeration Date	:	11/03/2017
Last Update Date	:	11/29/2017

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