Coburn Back and Neck Pain Clinic Inc.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

1351 Issued in TN

Legal business name

COBURN BACK AND NECK PAIN CLINIC INC.

Practice address

8099 Stage Hills Blvd
Suite 101
Bartlett, TN 38133-4064

Phone

(901) 386-0080

Fax

(901) 382-0089

NPI assigned

Mar 28, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Richard Eugene Coburn, D.C.

Title

President

Phone

(901) 386-0080

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1206662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206662400000",
    "number": "1043482193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8099 STAGE HILLS BLVD",
            "address_2": "SUITE 101",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381334064",
            "telephone_number": "901-386-0080",
            "fax_number": "901-382-0089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8099 STAGE HILLS BLVD",
            "address_2": "SUITE 101",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381334064",
            "telephone_number": "901-386-0080",
            "fax_number": "901-382-0089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COBURN BACK AND NECK PAIN CLINIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-28",
        "last_updated": "2008-03-28",
        "status": "A",
        "authorized_official_last_name": "COBURN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "901-386-0080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TN",
            "license": "1351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph V Clemmons III, D.D.S.
• Clover Counseling Services Inc
• Kim Clover, EDD
• John Connor Coalter, MS, PA-C
• Taffy Yvonne Cobbins
• Amanda Coke, DPH
• Cole Chiropractic Center of Bartlett
• Bradford J Cole, DC
• Lakeshia Cole, LMFT
• Richard L. Cole, D.C.

• Clinic/Center in Bartlett, TN
• Providers in Bartlett, TN by specialty
• Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.