Fletcher Family Chiropractic, Inc.
Organization Active NPI Chiropractor · Moulton, AL
NPI 1932276656 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1932276656
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 2009 (AL)
- Legal business name
- FLETCHER FAMILY CHIROPRACTIC, INC.
- Practice address
- 11809 Al Highway 157
Suite D
Moulton, AL 35650-2707 - Phone
- (256) 974-0415
- Fax
- (256) 974-6964
- NPI assigned
- Nov 29, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Aaron Fletcher, D.O.
- Title
- Owner
- Phone
- (256) 974-0415
Practitioners 1
-
Aaron L Fletcher, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050107000128 | AL | Part B Supplier - Clinic/Group Practice | 4183672082 |
Receives reassigned benefits from 1 practitioner Practice locations: Moulton, AL |
National Provider Directory
Locations
11809 AL Highway 157
Ste D
Moulton, AL 35650
Phone (256) 974-0415
11222 AL Highway 157
Ste A
Moulton, AL 35650
Phone (256) 974-0415
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 2009 | AL | Yes |
Addresses
Primary practice location
11809 Al Highway 157
Suite D
Moulton, AL 35650-2707
Mailing address
11809 Al Highway 157
Suite D
Moulton, AL 35650-2707
Phone (256) 974-0415
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51509743 | Other | AL | BCBS |
Other providers in Moulton, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. 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.