AMA CHIROPRACTIC ALTERNATIVE SERVICES PC NPI 1104028265

NPI Information

NPI: 1104028265
Provider Name: AMA CHIROPRACTIC ALTERNATIVE SERVICES PC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
340 SOUTH FILLMORE ST
EDWARDSVILLE, IL
ZIP 62025
Phone: (618) 692-9763
Get Directions

AMA CHIROPRACTIC ALTERNATIVE SERVICES PC is a chiropractor in Edwardsville, IL. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. AMA CHIROPRACTIC ALTERNATIVE SERVICES PC NPI is 1104028265. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

340 SOUTH FILLMORE ST
EDWARDSVILLE, IL
ZIP 62025
Phone: (618) 692-9763
Fax: (618) 692-9772

The provider's authorized official is Farook Muhiuddin .
The authorized official title is President and has the following contact phone number (618) 288-7518.

The enumeration date for this NPI number is 6/1/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	111N00000X	Chiropractor			ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	202370	OTHER	MISSOURI	BCBS
2	9516006	OTHER	ILLINOIS	CIGNA
3	06032164	OTHER	ILLINOIS	BCBS
4	5675679	OTHER	ILLINOIS	FIRST HEALTH
5	672256	OTHER	ILLINOIS	UHC
6	719909	OTHER	ILLINOIS	HEALTHLINK
7	7233470	OTHER	ILLINOIS	AETNA
8	POO264483	OTHER	ILLINOIS	RRMEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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