Christopher    Hubauer    PA-C
Contract Details
Ortho Sports 1st
Facility name
Provider ID
P000000001
NPI
1801335385
Tax ID
844617903
Effective Date
1/10/2022
Last Updated
1/10/2022
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
1031 Brocks Gap Parkway Suite 185
Hoover, AL 35244
United States
Phone
205-541-2252 (Phone)
Billing Details
Address
1031 Brocks Gap Parkway
Suite 185
Hoover, AL 35244
Billing Phone
205-541-2252
Specialty Type
Physician Assistant
Website
Visit Website
Workers Comp Coordinator
Tony
Harlow
205-541-2252
tony@bettersooner.com
Map
Address