Conway, Jerry L

Conway, Jerry L is an sole proprietor health care provider with primary practice located at 3689 Watermelon Rd Capstone Chiropractic Center, Northport AL 35473-5139. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Conway, Jerry L can be contacted via phone (205) 758-1600.

Contact Information

Primary practice address
3689 Watermelon Rd Capstone Chiropractic Center Northport AL 35473-5139
Fax: (205) 758-6698
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 728 Alabama

Profile Details

NPI number 1043310055
LBN Legal business name Conway, Jerry L
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 22nd, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043310055 NPPES
Alabama Other 51074208 BLUE CROSS

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