Neil Jordan Kjos in Chattanooga - Nutrition

Neil Jordan Kjos - NPI 1871580464

Neil Jordan Kjos is a Nutrition in Chattanooga, Tennessee. Neil Jordan Kjos practices all healthcare services and medical treatments related to Nutrition. The NPI Number for Neil Jordan Kjos is 1871580464. The last update date is 2010-11-30.

Neil Jordan Kjos's current location address is 3536 Cummings Hwy, Chattanooga, Tennessee. You can contact this provider via phone number 4238255252 and fax number 4238251228. The mailing address for Neil Jordan Kjos is 3536 Cummings Hwy, Chattanooga, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Name Neil Jordan Kjos
Address 3536 Cummings Hwy, Chattanooga, Tennessee
Phone Number 4238255252
Fax Number 4238251228
Sole Proprietor Y
Credentials D.C.

NPI Number Detail

NPI Number 1871580464
Provider Enumeration Date 2005-09-29
Last Updated Date 2010-11-30

Provider Mailing Address Detail

Address 3536 Cummings Hwy
City Chattanooga
State Tennessee (TN)
Post Code 374192435
Phone Number 4238255252
Fax Number 4238251228

Provider's Primary Taxonomy Detail

Speciality Nutrition
Taxonomy 111Nn1001X
Licence No 1430
Definition:
Chiropractic Nutrition is that specialty within the chiropractic profession that deals with the overall factors that affect the patient's ability to maintain the manipulative correction and thus sustain better neurological integrity. The Chiropractic

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
5011638 TN AETNA PIN
621713923 TN TAX ID NO.
350052346 GA RAILROAD MC/PALMETTO GBA
3069538 TN BLUE CROSS PIN
000933226A GA --

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FAQs about Neil Jordan Kjos

What is the unique identifier code issued to Neil Jordan Kjos by the Centers for Medicare & Medicaid Services?

The Neil Jordan Kjos has been assigned the NPI (National Provider Identifier) 1871580464. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Neil Jordan Kjos is located?

The Neil Jordan Kjos is situated at the following address: 3536 Cummings Hwy, Chattanooga, TN, 374192435.

What is the area of specialization for Neil Jordan Kjos, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Neil Jordan Kjos is Nutrition, and the corresponding taxonomy code that categorizes this area of expertise is 111Nn1001X.

When did Neil Jordan Kjos receive its 1871580464 assignment?

The Neil Jordan Kjos was assigned its 1871580464 on 2005-09-29, which is the date when this unique identifier was issued to the organization.

As of what date was the information regarding Neil Jordan Kjos, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Neil Jordan Kjos, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2010-11-30.

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