MR. JOHN CHARLES BLAKELY WALL D.C. NPI 1972694396

NPI Information

NPI: 1972694396
Provider Name: MR. JOHN CHARLES BLAKELY WALL, D.C.
Classification: Chiropractor - 111N00000X
Entity Type: Individual
Address:
1334 MACKEY BRANCH DR
SUITE 104
CHATTANOOGA, TN
ZIP 37421
Phone: (423) 296-2604
Get Directions

MR. John Charles Blakely Wall, D.C. is a chiropractor in Chattanooga, 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. MR. John Charles Blakely Wall, D.C. NPI is 1972694396. 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:

1334 MACKEY BRANCH DR
SUITE 104
CHATTANOOGA, TN
ZIP 37421-471
Phone: (423) 296-2604
Fax: (423) 296-2607

The enumeration date for this NPI number is 9/28/2006 and was last updated on 5/25/2016.

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		DC0000001504	TENNESSEE	No
2	111N00000X	Chiropractor		CHIR005485	GEORGIA	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	U78769	MEDICARE UPIN	GEORGIA
2	35ZCGWP	MEDICARE PIN	GEORGIA

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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