Provider Demographics
NPI:1609438845
Name:CHIROPRACTIC WEST, LLC
Entity type:Organization
Organization Name:CHIROPRACTIC WEST, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:LOWELL
Authorized Official - Middle Name:
Authorized Official - Last Name:BRAGG
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:205-821-2849
Mailing Address - Street 1:2009 BANEBERRY DR
Mailing Address - Street 2:
Mailing Address - City:HOOVER
Mailing Address - State:AL
Mailing Address - Zip Code:35244-6403
Mailing Address - Country:US
Mailing Address - Phone:205-821-2849
Mailing Address - Fax:205-519-4209
Practice Address - Street 1:975 9TH AVE SW STE 230
Practice Address - Street 2:
Practice Address - City:BESSEMER
Practice Address - State:AL
Practice Address - Zip Code:35022-7839
Practice Address - Country:US
Practice Address - Phone:205-519-4201
Practice Address - Fax:205-519-4209
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-08
Last Update Date:2019-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty