1619187234 NPI number — CHIROPARTNERS

Table of content: (NPI 1619187234)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1619187234 NPI number — CHIROPARTNERS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CHIROPARTNERS
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1619187234
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/20/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 1446
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ORANGE BEACH
Provider Business Mailing Address State Name:
AL
Provider Business Mailing Address Postal Code:
36561-1446
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
251-955-2225
Provider Business Mailing Address Fax Number:
251-980-1945

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
27250 PERDIDO BEACH BLVD
Provider Second Line Business Practice Location Address:
STE A
Provider Business Practice Location Address City Name:
ORANGE BEACH
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
36535
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
251-955-2225
Provider Business Practice Location Address Fax Number:
251-980-1945
Provider Enumeration Date:
05/23/2007

Additional Information

Authorized Official

Authorized Official Last Name:
RIZZUTO
Authorized Official First Name:
RICHARD
Authorized Official Middle Name:
WILLIAM
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
251-955-2225

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X , with the licence number:  1550 , registered in the state of AL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 51503323 . This is a "BCBS PREFERRED ID #" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com