Provider Demographics
NPI:1427470640
Name:ALEXANDER CHIROPRACTIC, LLC
Entity type:Organization
Organization Name:ALEXANDER CHIROPRACTIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NIKOLETA
Authorized Official - Middle Name:D
Authorized Official - Last Name:ALEXANDER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:251-929-2095
Mailing Address - Street 1:50 GREENO RD S
Mailing Address - Street 2:SUITE 1A
Mailing Address - City:FAIRHOPE
Mailing Address - State:AL
Mailing Address - Zip Code:36532-2069
Mailing Address - Country:US
Mailing Address - Phone:251-929-2095
Mailing Address - Fax:251-929-1907
Practice Address - Street 1:50 GREENO RD S
Practice Address - Street 2:SUITE 1A
Practice Address - City:FAIRHOPE
Practice Address - State:AL
Practice Address - Zip Code:36532-2069
Practice Address - Country:US
Practice Address - Phone:251-929-2095
Practice Address - Fax:251-929-1907
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-07
Last Update Date:2014-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51507459OtherBLUE CROSS & BLUE SHIELD
ALU89659Medicare UPIN