MEDICARE: ZACK BYRNE CHIROPRACTOR 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

General Provider Information

NPI Number	:	1790653020
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ZACK BYRNE CHIROPRACTOR LLC

Provider Business Mailing Address
First Line	:	368 COMMERCIAL PARK DR
Second Line	:
City	:	FAIRHOPE
State	:	AL
Zip	:	36532-1910
Country	:	US
Telephone Number	:	651-301-1622
Fax Number	:

Provider Business Practice Location Address
First Line	:	368 COMMERCIAL PARK DR
Second Line	:
City	:	FAIRHOPE
State	:	AL
Zip	:	36532-1910
Country	:	US
Telephone Number	:	651-301-1622
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ZACHARY BYRNE
Credential	:	DC
Telephone Number	:	651-301-1622

Provider Enumeration Date	:	10/28/2025
Last Update Date	:	11/10/2025

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