Provider Demographics
NPI:1962128199
Name:LOVELADY CHIROPRACTIC & SPORTS MEDICINE
Entity type:Organization
Organization Name:LOVELADY CHIROPRACTIC & SPORTS MEDICINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STUART
Authorized Official - Middle Name:SEVIER
Authorized Official - Last Name:LOVELADY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:256-737-7225
Mailing Address - Street 1:230 COUNTY ROAD 829
Mailing Address - Street 2:
Mailing Address - City:CULLMAN
Mailing Address - State:AL
Mailing Address - Zip Code:35057-1625
Mailing Address - Country:US
Mailing Address - Phone:256-737-7225
Mailing Address - Fax:
Practice Address - Street 1:230 COUNTY ROAD 829
Practice Address - Street 2:
Practice Address - City:CULLMAN
Practice Address - State:AL
Practice Address - Zip Code:35057-1625
Practice Address - Country:US
Practice Address - Phone:256-737-7225
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-19
Last Update Date:2022-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NS0005XChiropractic ProvidersChiropractorSports PhysicianGroup - Single Specialty