Organization Name: | PARMER FAMILY CHIROPRACTIC LLC |
NPI Number: | 1629343280 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BRANNON PARMER (OWNER/DOCTOR) |
Mailing Address: | 830 Dolive St Bay Minette |
State: | AL US |
Postal Code: | 36507 |
Phone Number: | 2515804145 |
Fax Number: | 2515805118 |
NPI Enumeration Date: | 03/15/2012 |
NPI Last Update Date: | 03/15/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2300X |
License Number: | 2217 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |