Provider Demographics
NPI:1306104039
Name:PRECISION CHIROPRACTIC AND REHABILITATION, PC
Entity type:Organization
Organization Name:PRECISION CHIROPRACTIC AND REHABILITATION, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARTY
Authorized Official - Middle Name:C
Authorized Official - Last Name:LOVVORN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:205-988-9848
Mailing Address - Street 1:104 OWENS PKWY
Mailing Address - Street 2:SUITE A
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35244-1657
Mailing Address - Country:US
Mailing Address - Phone:205-988-9848
Mailing Address - Fax:
Practice Address - Street 1:104 OWENS PKWY
Practice Address - Street 2:SUITE A
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35244-1657
Practice Address - Country:US
Practice Address - Phone:205-988-9848
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-01
Last Update Date:2012-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2366111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Single Specialty