MONROE SPORTS AND FAMILY CHIROPRACTICINC NPI 1902108467

NPI Information

NPI: 1902108467
Provider Name: MONROE SPORTS AND FAMILY CHIROPRACTIC,INC

Doing Business As: ALCOVY SPORTS AND FAMILY CHIROPRACTIC

Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

Address:
311 ALCOVY ST
MONROE, GA
ZIP 30655
Phone: (770) 207-5454
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MONROE SPORTS AND FAMILY CHIROPRACTIC,INC is a medical specialty clinic center in Monroe, GA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). MONROE SPORTS AND FAMILY CHIROPRACTIC,INC NPI is 1902108467. The provider is registered as an organization entity type.
The provider Is Doing Business As Alcovy Sports And Family Chiropractic.

The provider's business location address is:

311 ALCOVY ST
MONROE, GA
ZIP 30655-139
Phone: (770) 207-5454
Fax: (770) 207-9465

The provider's authorized official is Katherine Ann Schraub .
The authorized official title is Ceo and has the following contact phone number (770) 207-5454.

The enumeration date for this NPI number is 12/3/2010 and was last updated on 12/3/2010.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM2500X	Clinic/Center	Medical Specialty	CHIR006524	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	U73958	MEDICARE UPIN	GEORGIA

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

NPI Synchronization or Removal

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