DR. VICTOR POLETAJEV D.C. NPI 1912988841

NPI Information

NPI: 1912988841
Provider Name: DR. VICTOR POLETAJEV, D.C.
Classification: Chiropractor - 111N00000X
Entity Type: Individual
Address:
5107 BRYSON TRL
MURFREESBORO, TN
ZIP 37129
Phone: (615) 867-7522
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DR. Victor Poletajev, D.C. is a chiropractor in Murfreesboro, 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. DR. Victor Poletajev, D.C. NPI is 1912988841. 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:

5107 BRYSON TRL
MURFREESBORO, TN
ZIP 37129-063
Phone: (615) 867-7522
Fax: (615) 867-3288

The enumeration date for this NPI number is 11/8/2005 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	License Number	License State	Primary
1	111N00000X	Chiropractor	528	WEST VIRGINIA	No
2	111N00000X	Chiropractor	DC-003771-L	PENNSYLVANIA	No
3	111N00000X	Chiropractor	1878	ALABAMA	No
4	111N00000X	Chiropractor	DC-001053	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	3093995	OTHER	TENNESSEE	BLUE CROSS BLUE SHIELD
2	4482273	OTHER	TENNESSEE	AETNA
3	U27523	MEDICARE UPIN	TENNESSEE
4	3970120	MEDICARE ID-TYPE UNSPECIFIED	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: 11/14/2023

NPI Synchronization or Removal

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