Pridemore Family Chiropractic Pc in Johnson City - Chiropractor
Pridemore Family Chiropractic Pc - NPI 1063614683
Pridemore Family Chiropractic Pc is a Chiropractor in Johnson City, Tennessee. Pridemore Family Chiropractic Pc practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Pridemore Family Chiropractic Pc is 1063614683. The last update date is 2007-08-29.
Pridemore Family Chiropractic Pc's current location address is 514 E Watauga Ave, Johnson City, Tennessee. You can contact this provider via phone number 4239284101 and fax number 4239280994. The mailing address for Pridemore Family Chiropractic Pc is 514 E Watauga Ave, Johnson City, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pridemore Family Chiropractic Pc |
|---|---|
| Address | 514 E Watauga Ave, Johnson City, Tennessee |
| Phone Number | 4239284101 |
| Fax Number | 4239280994 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Pridemore R Shawn |
| Credentials | DC |
| Telephone Number | 4239284101 |
NPI Number Detail
| NPI Number | 1063614683 |
|---|---|
| Provider Enumeration Date | 2007-06-05 |
| Last Updated Date | 2007-08-29 |
Provider Mailing Address Detail
| Address | 514 E Watauga Ave |
|---|---|
| City | Johnson City |
| State | Tennessee (TN) |
| Post Code | 376014039 |
| Phone Number | 4239284101 |
| Fax Number | 4239280994 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | DC0000000129 |
|
Definition: 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 inte |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Pridemore Family Chiropractic Pc?
The Pridemore Family Chiropractic Pc has been issued the NPI (National Provider Identifier) 1063614683 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Pridemore Family Chiropractic Pc's facilities are geographically located?
The facilities of Pridemore Family Chiropractic Pc are physically situated at the following location: 514 E Watauga Ave, Johnson City, TN, 376014039.
What is Pridemore Family Chiropractic Pc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Pridemore Family Chiropractic Pc is Chiropractor, and the taxonomy code that categorizes this field of expertise is 111N00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1063614683 to Pridemore Family Chiropractic Pc?
The Pridemore Family Chiropractic Pc received its 1063614683 assignment from the Centers for Medicare & Medicaid Services on 2007-06-05.
When was the information pertaining to Pridemore Family Chiropractic Pc most recently updated or revised?
The details related to Pridemore Family Chiropractic Pc, including its address, specialty, and other relevant information, were last updated or revised on 2007-08-29.
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