Contract Details
Coastal Chiropractic and Acupuncture, LLC
Facility name
Coastal Chiropractic and Acupuncture
Provider ID
P000008546
NPI
1972045995
Tax ID
813812587
Effective Date
1/5/2017
Last Updated
1/6/2017
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
70.00
Location Details
Address
619 E. Laurel Ave.
Foley, AL 36535
United States
County
Baldwin
Phone
2519435689 (Phone)
Billing Details
Address
2130 Bourbon St.
Foley, AL 36535
Billing Phone
2519435689
Specialty Type
Chiropractic Medicine
Map
Address