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PETER CHARLES SULACK D.C. NPI 1992830095


NPI Information

NPI: 1992830095
Provider Name: PETER CHARLES SULACK D.C.

Doing Business As: EXODUS CHIROPRACTIC

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
10910 KINGSTON PIKE
SUITE 101
KNOXVILLE, TN
ZIP 37934
Phone: (865) 675-2050
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PETER CHARLES SULACK D.C. is a chiropractor in Knoxville, 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. PETER CHARLES SULACK D.C. NPI is 1992830095. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Exodus Chiropractic.

The provider's business location address is:

10910 KINGSTON PIKE
SUITE 101
KNOXVILLE, TN
ZIP 37934-931
Phone: (865) 675-2050

The provider's authorized official is Josh Eason .
The authorized official title is Office Manager and has the following contact phone number (865) 675-2050.

The enumeration date for this NPI number is 2/22/2007 and was last updated on 10/27/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractorTENNESSEEYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
14033747OTHERTENNESSEEBLUE CROSS GROUP BILLING
23972513MEDICARE ID-TYPE UNSPECIFIEDTENNESSEEMEDICARE GROUP BILLING

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

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