LIGHTFOOT CHIROPRACTIC CLINIC, LLC (NPI# 1649784430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1649784430 |
Entity Type | Organization |
Organization Name | LIGHTFOOT CHIROPRACTIC CLINIC, LLC |
Practice Address |
2117 Broad Street Selma AL 36701 |
Practice Telephone | 3348757163 |
Practice Fax Number | 3348757138 |
Mailing Telephone | 3348757163 |
Mailing Fax Number | 3348757138 |
Enumeration Date | 2017-12-01 |
Last Update Date | 2017-12-01 |
Authorized Official Name | MRS. SUSAN D LIGHTFOOT (OWNER) |
Authorized Official Telephone | 3348757163 |
Authorized Official Credential | CLINIC OWNER |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 111N00000X | Chiropractor | A0099 | AL | Chiropractic Providers |
Street Address |
2117 BROAD STREET |
City | SELMA |
State | AL |
Zip Code | 36701 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114491057 | Monica Boswell Moore | Nurse Practitioner | 1015 Medical Center Parkway, Selma, AL 36701 | 2019-01-14 |
1356883284 | Vatausha Howard | Counselor | 1017 Medical Center Parkway, Selma, AL 36701 | 2016-11-09 |
1366993230 | Homestead Hospice of Cahaba | Hospice, Inpatient | 3005 Citizens Parkway, Selma, AL 36701 | 2016-10-17 |
1497018675 | Lashana Faye Jones | Technician | 2423 A North Broad St, Selma, AL 36701 | 2012-06-21 |
1528222809 | Eric M. Roussell Sr. | Pharmacist | 1300 Highland Avenue, Selma, AL 36701 | 2008-07-15 |
1144499302 | Cecil William Fuller Sr. | Dentist | 203 Dallas Ave, Selma, AL 36701 | 2008-02-21 |
1184813396 | Alliance Pharmacy LLC | Pharmacy | 133 1half Broad St, Selma, AL 36701 | 2007-10-24 |
1376740373 | Selma City | Local Education Agency (LEA) | 2194 Broad Street, Selma, AL 36701 | 2007-07-02 |
1245356229 | Georgia W Rhodes | Audiologist | 2906 Citizens Pkwy, Selma, AL 36701 | 2007-03-22 |
1386793131 | Ernest T Okeke | Family Medicine | 901 Jeff Davis Ave, Suite A, Selma, AL 36701 | 2007-01-10 |
Find all providers in zip 36701 |
Taxonomy Code | 111N00000X |
Grouping | Chiropractic Providers |
Classification | Chiropractor |
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. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649785106 | Randel M Yano Dc A Chiropractic | Chiropractor | 3275 Mccall Ave Ste 100, Selma, CA 93662-2670 | 2017-12-06 |
1467638536 | Lungren Chiropractic Center Inc | Chiropractor | 1850 Floral Ave, Selma, CA 93662 | 2008-01-18 |
1447335153 | Allen Randolph Henderson | Chiropractor | 611 Broad St, Selma, AL 36701-4505 | 2006-10-25 |
1336259787 | Scott Garrett Chamberlain | Chiropractor | 2001 First Street, Selma, CA 93662 | 2006-08-30 |
1790892958 | Richard S Garabedian | Chiropractor | 2133 High Street, Suite C, Selma, CA 93662 | 2006-08-24 |
1427090513 | Mark Peter Lungren | Chiropractor | 1850 Floral Avenue, Selma, CA 93662-2808 | 2006-06-12 |
1851381040 | Stephen Craig Mcnaughton | Chiropractor | 1856 Whitson, Selma, CA 93662 | 2005-10-27 |
1043852437 | Shaylee Riyeko Yano | Chiropractor | 3275 Mccall Ave, Suite 100, Selma, CA 93662-2670 | 2019-10-17 |
1952814055 | Henderson Chiropractic Inc | Chiropractor | 611 Broad St, Selma, AL 36701-4505 | 2017-11-10 |
1073846309 | Selma Pain & Injury Center | Chiropractor | 800 Highland Ave, Selma, AL 36701-4926 | 2009-09-18 |
Find all providers in SELMA |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.