Lee A Bullington, DC

Individual provider Active NPI Chiropractor · Goodlettsville, TN

NPI 1861541971 · NPPES record last updated May 19, 2008

Key facts

NPI
1861541971
Entity type
Individual (NPI type 1)
Primary specialty
Chiropractor 111N00000X
License
0000001486 (TN)
Practice address
100 N Main St
Ste D
Goodlettsville, TN 37072
Phone
(615) 851-2038
Fax
(615) 851-8742
NPI assigned
Jan 9, 2007
Sex
Male
Sole proprietor
No

Medicare Care Compare profile

Specialty
Chiropractic
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

120 E Cedar St
Godlettsville, TN 37072-1434
Phone (615) 851-2038

Medicare participation

Medicare fee-for-service enrollment
Enrolled in TN

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20040804001923 TN Practitioner - Chiropractic 2961473632 Practice locations: Godlettsville, TN

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
0000001486TNMDChiropractor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0000001486 TN Yes

Addresses

Primary practice location

100 N Main St
Ste D
Goodlettsville, TN 37072

Mailing address

100 N Main St
Ste D
Goodlettsville, TN 37072
Phone (615) 851-2038

Other providers in Goodlettsville, TN

All providers in Goodlettsville, TN · Chiropractor in Tennessee

Sources for this page

Verify at the official NPI Registry.