EAGLE LAKE CHIROPRACTIC LLC NPI 1952583015

NPI Information

  • NPI: 1952583015
  • Provider Name: EAGLE LAKE CHIROPRACTIC, LLC
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Organization
  • Address: 12844 US HIGHWAY 431 STE B
    GUNTERSVILLE, AL
    ZIP 35976
  • Phone: (256) 582-4330

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NPI Details

EAGLE LAKE CHIROPRACTIC, LLC is a chiropractor in Guntersville, 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. EAGLE LAKE CHIROPRACTIC, LLC NPI is 1952583015. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

12844 US HIGHWAY 431 STE B
GUNTERSVILLE, AL
ZIP 35976-312
Phone: (256) 582-4330

The provider's authorized official is Carrie Southerland .
The authorized official title is Chiropractic Physician and has the following contact phone number (256) 582-4330.

The enumeration date for this NPI number is 11/30/2007 and was last updated on 11/30/2007.

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
1111N00000XChiropractor2029ALABAMAYes

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
11477694636MEDICARE UPINALABAMA

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: 11/21/2025

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