Joel W Durham is a Sports Physician in Jackson, Tennessee. Joel W Durham practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for Joel W Durham is 1710949722. The last update date is 2013-08-09.
Joel W Durham's current location address is 25 Corporate Blvd, Jackson, Tennessee. You can contact this provider via phone number 7316642929 and fax number 7316647555. The mailing address for Joel W Durham is 25 Corporate Blvd, Jackson, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Joel W Durham |
|---|---|
| Address | 25 Corporate Blvd, Jackson, Tennessee |
| Phone Number | 7316642929 |
| Fax Number | 7316647555 |
| Sole Proprietor | Y |
| Credentials | DC |
NPI Number Detail
| NPI Number | 1710949722 |
|---|---|
| Provider Enumeration Date | 2006-04-05 |
| Last Updated Date | 2013-08-09 |
Provider Mailing Address Detail
| Address | 25 Corporate Blvd |
|---|---|
| City | Jackson |
| State | Tennessee (TN) |
| Post Code | 383052314 |
| Phone Number | 7316642929 |
| Fax Number | 7316647555 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Physician |
|---|---|
| Taxonomy | 111Ns0005X |
| Licence No | DC-831 |
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Definition: A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1719192 | TN | CIGNA | |
| 3154438 | TN | BLUE CROSS | |
| 350050083 | TN | RAILROAD MEDICARE | |
| 00001997769-02 | TN | UNITED HEALTHCARE OF TENN | |
| 5744028 | TN | AETNA |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Joel W Durham by the Centers for Medicare & Medicaid Services?
The Joel W Durham has been issued the NPI (National Provider Identifier) 1710949722, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Joel W Durham?
The Joel W Durham is situated at 25 Corporate Blvd, in the city of Jackson, state of TN, with the zip code 383052314.
What is Joel W Durham's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Joel W Durham is Sports Physician, and the taxonomy code that classifies this field of practice is 111Ns0005X.
On what date was the 1710949722 assigned to Joel W Durham?
The Joel W Durham was issued its 1710949722 on 2006-04-05, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Joel W Durham most recently updated or revised?
The information pertaining to Joel W Durham, including its address, specialty, and other relevant details, was last updated or revised on 2013-08-09.
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