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NPI Code Detail

MEDICARE: PORT CITY FAMILY CHIROPRACTIC

MEDICARE: PORT CITY FAMILY CHIROPRACTIC
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
1111N00000XChiropractor2434AL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11548655632OTHERALNPI-INDIVIDUAL

General Provider Information

NPI Number : 1598152118
Entity Type Code : Organization
Provider Name (Legal Business Name) : PORT CITY FAMILY CHIROPRACTIC
Provider Business Mailing Address
First Line : 6345 COTTAGE HILL RD
Second Line : SUITE D
City : MOBILE
State : AL
Zip : 36695
Country : US
Telephone Number : 239-297-5106
Fax Number :
Provider Business Practice Location Address
First Line : 6345 COTTAGE HILL RD
Second Line : SUITE D
City : MOBILE
State : AL
Zip : 36695
Country : US
Telephone Number : 239-297-5106
Fax Number :
Authorized Official
Title or Position : CHIROPRACTOR
Name : DR. SAMANTHA CHIRICHELLA
Credential : DC
Telephone Number : 239-297-5106
Provider Enumeration Date : 04/21/2015
Last Update Date : 04/21/2015

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Directions to “PORT CITY FAMILY CHIROPRACTIC ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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