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MISSION SQUARE CHIROPRACTIC CLINIC NPI 1700151255


NPI Information

NPI: 1700151255
Provider Name: MISSION SQUARE CHIROPRACTIC CLINIC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
49 MITCHELL DR
MONTGOMERY, AL
ZIP 36109
Phone: (800) 764-0911
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MISSION SQUARE CHIROPRACTIC CLINIC is a chiropractor in Montgomery, AL. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. MISSION SQUARE CHIROPRACTIC CLINIC NPI is 1700151255. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

49 MITCHELL DR
MONTGOMERY, AL
ZIP 36109-923
Phone: (800) 764-0911
Fax: (800) 764-8611

The provider's authorized official is Alan Jerome Trent .
The authorized official title is Owner and has the following contact phone number (334) 676-0166.

The enumeration date for this NPI number is 3/16/2012 and was last updated on 3/16/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractorYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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