Chiropractic Center, P.C.
Organization Active NPI Chiropractor · Talbott, TN
NPI 1801070586 · NPPES record last updated Feb 24, 2011
Key facts
- NPI
- 1801070586
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- TN796 (TN)
- Legal business name
- CHIROPRACTIC CENTER, P.C.
- Practice address
- 6156 W Andrew Johnson Hwy
Talbott, TN 37877-8603 - Phone
- (423) 581-7629
- Fax
- (423) 581-6551
- NPI assigned
- Dec 18, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Stephen L. Clarke
- Title
- Owner/Physician
- Phone
- (423) 581-7629
Practitioners 2
-
Stephen L Clarke, DC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120314000392 | TN | Part B Supplier - Clinic/Group Practice | 4385803154 |
Receives reassigned benefits from 1 practitioner Practice locations: Talbott, TN |
National Provider Directory
Locations
6156 W Andrew Johnson Hwy
Talbott, TN 37877
Phone (423) 581-6551
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | TN796 | TN | Yes |
Addresses
Primary practice location
6156 W Andrew Johnson Hwy
Talbott, TN 37877-8603
Mailing address
PO Box 338
Talbott, TN 37877-0338
Phone (423) 581-7629
Other providers in Talbott, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 24, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.