BIRDWELL CHIROPRACTIC CLINIC PLLC NPI 1821292442

NPI Information

NPI: 1821292442
Provider Name: BIRDWELL CHIROPRACTIC CLINIC, PLLC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
729 W LAMAR ALEXANDER PKWY
MARYVILLE, TN
ZIP 37801
Phone: (865) 982-0802
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BIRDWELL CHIROPRACTIC CLINIC, PLLC is a chiropractor in Maryville, 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. BIRDWELL CHIROPRACTIC CLINIC, PLLC NPI is 1821292442. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

729 W LAMAR ALEXANDER PKWY
MARYVILLE, TN
ZIP 37801-945
Phone: (865) 982-0802
Fax: (865) 984-2225

The provider's authorized official is Joseph C. Birdwell .
The authorized official title is REGISTERED AGENTAgent and has the following contact phone number (865) 982-0802.

The enumeration date for this NPI number is 6/14/2007 and was last updated on 11/6/2008.

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		DC0000000136	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	350042873	OTHER	TENNESSEE	RAILROAD MEDICARE
2	4146350	OTHER	TENNESSEE	BCBST
3	4486027	OTHER	TENNESSEE	AETNA
4	4440144	OTHER	TENNESSEE	UNITED HEALTHCARE
5	T61508	MEDICARE UPIN	TENNESSEE
6	3370015	MEDICARE PIN	TENNESSEE
7	AETNA	OTHER	TENNESSEE	4482807
8	1507486	MEDICAID	TENNESSEE

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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