Richard    McIntyre    DC
Contract Details
Back On Track Chiropractic & Wellness
Facility name
Provider ID
P000001114
Tax ID
631204154
Effective Date
12/8/1999
Last Updated
5/6/2014
Direct Contract
Yes
Term Date
5/6/2014
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
2121 Sweeney Hollow Road
Birmingham, AL 35215
United States
County
Jefferson
Phone
2055200091 (Phone)
Billing Details
Address
2121 Sweeney Hollow Road
Birmingham, AL 35215
Billing Phone
2055200091
Specialty Type
Chiropractic Medicine
Map
Address