MEDICARE: CROSSVILLE CHIROPRACTIC HEALTH CENTER

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	696	AL

General Provider Information

NPI Number	:	1912055104
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CROSSVILLE CHIROPRACTIC HEALTH CENTER

Provider Business Mailing Address
First Line	:	12815 US HIGHWAY 431
Second Line	:
City	:	SARDIS CITY
State	:	AL
Zip	:	35956-2046
Country	:	US
Telephone Number	:	256-593-3551
Fax Number	:	256-593-4603

Provider Business Practice Location Address
First Line	:	12815 US HIGHWAY 431
Second Line	:
City	:	SARDIS CITY
State	:	AL
Zip	:	35956-2046
Country	:	US
Telephone Number	:	256-593-3551
Fax Number	:	256-593-4603

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. PAUL ANDREW PROTZ
Credential	:	D.C.
Telephone Number	:	256-593-3551

Provider Enumeration Date	:	01/06/2007
Last Update Date	:	08/22/2020

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Directions to “CROSSVILLE CHIROPRACTIC HEALTH CENTER ” Practice Location

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