Individual provider · Type 1 NPI
Justin Wade Fogo, DC
Chiropractor · Chelsea, AL
NPI number
1417167271
Active
Practice location
398 Chesser Road, Suite 2
Chelsea, AL 35043
Fax (205) 678-1001
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 2069 (AL) |
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.
About NPI 1417167271
Justin Wade Fogo, DC's National Provider Identifier is 1417167271, issued on May 23, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Chelsea, AL. The record was last updated on Apr 28, 2010.