PROVIDENCE III LLC NPI 1538889852

NPI Information

  • NPI: 1538889852
  • Provider Name: PROVIDENCE III, LLC
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Organization
  • Address: 443 HWY 109, SUITE 103
    LEBANON, TN
    ZIP 37090
  • Phone: (615) 715-1823

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NPI Details

PROVIDENCE III, LLC is a chiropractor in Lebanon, 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. PROVIDENCE III, LLC NPI is 1538889852. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

443 HWY 109, SUITE 103
LEBANON, TN
ZIP 37090
Phone: (615) 715-1823

The provider's authorized official is Jeremy Mason .
The authorized official title is General Manager and has the following contact phone number (615) 715-1823.

The enumeration date for this NPI number is 8/29/2022 and was last updated on 8/29/2022.

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
1111N00000XChiropractorYes

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: 11/21/2025

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