Michael Joseph Chenoweth, D.C.
Individual provider Active NPI Chiropractor · Mobile, AL
NPI 1003905977 · NPPES record last updated Jul 19, 2013
Key facts
- NPI
- 1003905977
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 1085 (AL)
- Practice address
- 2317 Knollwood Dr
#5
Mobile, AL 36693-3119 - Phone
- (251) 661-0833
- Fax
- (251) 661-7036
- NPI assigned
- Oct 11, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20121029000402 | AL | Practitioner - Chiropractic | 1951551936 | Practice locations: Mobile, AL |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1085 | AL | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cottage Hill Chiropractic Center | Past |
Accepting new patients | |
| Henry Chiropractic Center Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1085 | AL | Yes |
Addresses
Primary practice location
2317 Knollwood Dr
#5
Mobile, AL 36693-3119
Mailing address
2317 Knollwood Dr
#5
Mobile, AL 36693-3119
Phone (251) 661-0833
Other providers in Mobile, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 19, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.