1891231114 NPI number — ADVANCED CHIROPRACTIC

Table of content: MRS. TABITHA MICHELLE SATCHER FNP (NPI 1558043992)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1891231114 NPI number — ADVANCED CHIROPRACTIC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ADVANCED CHIROPRACTIC
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:
1891231114
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/18/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1600 BELTLINE ROAD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DECATUR
Provider Business Mailing Address State Name:
AL
Provider Business Mailing Address Postal Code:
35601
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
256-351-8500
Provider Business Mailing Address Fax Number:
256-351-0031

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2112 6TH AVE SE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DECATUR
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
35601-6510
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
256-351-8500
Provider Business Practice Location Address Fax Number:
256-351-0031
Provider Enumeration Date:
01/10/2017

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
MANN
Authorized Official First Name:
BRIAN
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
256-351-8500

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X , with the licence number:  2438 , 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)