Provider Demographics
NPI:1699793133
Name:MY CHIROPRACTOR PC
Entity type:Organization
Organization Name:MY CHIROPRACTOR PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:CATALFU
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:205-444-0727
Mailing Address - Street 1:2801 HIGHWAY 150
Mailing Address - Street 2:SUITE 129H
Mailing Address - City:HOOVER
Mailing Address - State:AL
Mailing Address - Zip Code:35244-4007
Mailing Address - Country:US
Mailing Address - Phone:205-444-0727
Mailing Address - Fax:205-444-9499
Practice Address - Street 1:2801 HIGHWAY 150
Practice Address - Street 2:SUITE 129H
Practice Address - City:HOOVER
Practice Address - State:AL
Practice Address - Zip Code:35244-4007
Practice Address - Country:US
Practice Address - Phone:205-444-0727
Practice Address - Fax:205-444-9499
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-17
Last Update Date:2019-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
U56332Medicare UPIN