Andalusia Family Chiropractic PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

060-009615 Issued in IL

Legal business name

ANDALUSIA FAMILY CHIROPRACTIC PC

Practice address

326 6TH Ave West
Suite 1
Andalusia, IL 61232-0555

Phone

(309) 798-5555

Fax

(309) 798-5205

NPI assigned

Dec 7, 2007

Last updated

Feb 11, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Douglas Bisby, DC

Title

President

Phone

(309) 798-5555

Specialties & licenses 2

Addresses

Other names 1

• Andalusia Family Chiropractic PC Former legal business name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1196985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265846400000",
    "number": "1861675217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 6TH AVE WEST SUITE 1",
            "address_2": "PO BOX 555",
            "city": "ANDALUSIA",
            "state": "IL",
            "postal_code": "612320555",
            "telephone_number": "309-798-5555",
            "fax_number": "309-798-5205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 6TH AVE WEST",
            "address_2": "SUITE 1",
            "city": "ANDALUSIA",
            "state": "IL",
            "postal_code": "612320555",
            "telephone_number": "309-798-5555",
            "fax_number": "309-798-5205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDALUSIA FAMILY CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-07",
        "last_updated": "2010-02-11",
        "status": "A",
        "authorized_official_last_name": "BISBY",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "309-798-5555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-010216",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "060-009615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Andalusia Family Chiropractic PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Andalusia Volunteer Ambulance
• Audra Christal

• Chiropractor in Andalusia, IL
• Providers in Andalusia, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.