RENWICK EDDIE TUCKER D.C. NPI 1487770244

NPI Information

NPI: 1487770244
Provider Name: RENWICK EDDIE TUCKER, D.C.
Classification: Chiropractor - 111N00000X
Entity Type: Individual
Address:
3540 SUMMER AVENUE
305
MEMPHIS, TN
ZIP 38122
Phone: (901) 644-5416
Get Directions

Renwick Eddie Tucker, D.C. 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. Renwick Eddie Tucker, D.C. NPI is 1487770244. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3540 SUMMER AVENUE
305
MEMPHIS, TN
ZIP 38122-600
Phone: (901) 644-5416
Fax: (901) 323-2997

The enumeration date for this NPI number is 3/22/2007 and was last updated on 7/8/2007.

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		1943	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	7762785	OTHER	TENNESSEE	AETNA
2	3973714	MEDICARE ID-TYPE UNSPECIFIED	TENNESSEE
3	U89358	MEDICARE UPIN	TENNESSEE
4	4100973	OTHER	TENNESSEE	BCBS

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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