MEDICARE: ALABAMA SCOLIOSIS SPECIALISTS

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	AL 1793	AL

General Provider Information

NPI Number	:	1851620215
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALABAMA SCOLIOSIS SPECIALISTS

Provider Business Mailing Address
First Line	:	4800 WHITESBURG DR S
Second Line	:	#118
City	:	HUNTSVILLE
State	:	AL
Zip	:	35802-1698
Country	:	US
Telephone Number	:	256-837-5932
Fax Number	:

Provider Business Practice Location Address
First Line	:	4800 WHITESBURG DR S
Second Line	:	#118
City	:	HUNTSVILLE
State	:	AL
Zip	:	35802-1698
Country	:	US
Telephone Number	:	256-837-5932
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	DR. JACQUELINE RICHARDS
Credential	:	DC
Telephone Number	:	256-837-5932

Provider Enumeration Date	:	12/15/2009
Last Update Date	:	01/18/2011

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