Forme Medical &Burgess Chiropractic Clinic

LBN: Forme Medical &Burgess Chiropractic Clinic
Forme Medical &Burgess Chiropractic Clinic is an health care organization with primary practice located at 3001 Mcclellan Blvd , Anniston AL 36201-2724. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Forme Medical &Burgess Chiropractic Clinic can be contacted via phone (256) 237-9251, or through Burgess, Dale C via phone (256) 237-9251.

Contact Information

Primary practice address
3001 Mcclellan Blvd Anniston AL 36201-2724
Phone: (256) 237-9251
Fax: (256) 236-7397
Website:
Map and Directions
Authorized official contact:
Name: Burgess, Dale C Doctor of Chiropractic (DC)
Phone: (256) 237-9251

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 915 Alabama

Profile Details

NPI number 1356466379
LBN Legal business name Forme Medical &Burgess Chiropractic Clinic
DBA Doing business as
Authorized official Burgess, Dale C Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 20th, 2007
Last updated Nov 19th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356466379 NPPES
Alabama Other 51505603 BC PROVIDER #

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