Chiropractic Center of Vernon
Organization Active NPI Chiropractor · Vernon, AL
NPI 1174787899 · NPPES record last updated Jul 11, 2008
Key facts
- NPI
- 1174787899
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 1912 (AL)
- Legal business name
- CHIROPRACTIC CENTER OF VERNON
- Practice address
- 110 Medical Clinic Dr
Vernon, AL 35592-5224 - Phone
- (205) 695-7570
- Fax
- (205) 695-8461
- NPI assigned
- Jul 11, 2008
- Organization subpart
- No
Authorized official
- Name
- Dr. Jennifer Caroline Josey, D.C.
- Title
- President/Owner
- Phone
- (205) 695-7570
Practitioners 3
-
Jennifer Caroline Josey, D.C., CRNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080729000465 | AL | Part B Supplier - Clinic/Group Practice | 1456425149 |
Receives reassigned benefits from 1 practitioner Practice locations: Vernon, AL |
National Provider Directory
Locations
178 1st St NE
Vernon, AL 35592
Phone (205) 695-7570
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 1912 | AL | Yes |
Addresses
Primary practice location
110 Medical Clinic Dr
Vernon, AL 35592-5224
Mailing address
110 Medical Clinic Dr
Vernon, AL 35592-5224
Phone (205) 695-7570
Other providers in Vernon, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 11, 2008. 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.