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Dr. Justin Wade Fogo, DC
Chiropractor in Chelsea, Alabama
NPI 1417167271

Justin Wade Fogo is a Chiropractor based in Chelsea, AL. Justin Wade Fogo practices in Chelsea, AL and has the professional credentials of DC. The NPI Number for Justin Wade Fogo is 1417167271 and holds a License No. 2069 (Alabama).

The current practice location address for Justin Wade Fogo is 398 Chesser Road, Chelsea, AL and can be reached out via phone at 205-678-1000 and via fax at 205-678-1001.

Location: 398 Chesser Road, Chelsea, AL, 35043
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417167271
Provider Name
Justin Wade Fogo
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
398 Chesser Road, Chelsea, AL, 35043
Phone Number
205-678-1000
Fax Number
205-678-1001
Provider Enumeration Date
05/23/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
51525708 01 AL BCBS PROVIDER
institution
Provider Business Practice Location Address Details
Address
398 Chesser Road
City
Chelsea
State
Alabama
Zip
35043
Phone Number
205-678-1000
Fax Number
205-678-1001
person
Provider Business Mailing Address Details
Address
398 Chesser Road
City
Chelsea
State
Alabama
Zip
35043
Phone Number
205-678-1000
Fax Number
205-678-1001
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
2069 (Alabama)
Definition
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.
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