CHIROPRACTIC MEMPHIS NPI 1154468114

NPI Information

NPI: 1154468114
Provider Name: CHIROPRACTIC MEMPHIS
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
3675 SUMMER AVE
MEMPHIS, TN
ZIP 38122
Phone: (901) 323-3613
Get Directions

CHIROPRACTIC MEMPHIS is a chiropractor in Memphis, TN. 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. CHIROPRACTIC MEMPHIS NPI is 1154468114. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3675 SUMMER AVE
MEMPHIS, TN
ZIP 38122-742
Phone: (901) 323-3613
Fax: (901) 454-5939

The provider's authorized official is David J Kellenberger .
The authorized official title is Owner and has the following contact phone number (901) 323-3613.

The enumeration date for this NPI number is 1/31/2007 and was last updated on 4/20/2008.

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		1490	TENNESSEE	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	U73574	MEDICARE UPIN	TENNESSEE
2	3970020	MEDICARE ID-TYPE UNSPECIFIED	TENNESSEE
3	=========	OTHER	TENNESSEE	TAX IDENTIFICATION

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: 4/28/2024

NPI Synchronization or Removal

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