Provider Demographics
NPI:1538579925
Name:MIDDLE TENNESSEE CHIROPRACTIC P.L.L.C.
Entity type:Organization
Organization Name:MIDDLE TENNESSEE CHIROPRACTIC P.L.L.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALEX
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:VEAR
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:517-425-1378
Mailing Address - Street 1:617 HARTSVILLE PIKE
Mailing Address - Street 2:SUITE B
Mailing Address - City:GALLATIN
Mailing Address - State:TN
Mailing Address - Zip Code:37066-2582
Mailing Address - Country:US
Mailing Address - Phone:517-425-1378
Mailing Address - Fax:
Practice Address - Street 1:617 HARTSVILLE PIKE
Practice Address - Street 2:SUITE B
Practice Address - City:GALLATIN
Practice Address - State:TN
Practice Address - Zip Code:37066-2582
Practice Address - Country:US
Practice Address - Phone:517-425-1378
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-06
Last Update Date:2014-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDC0000002748111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty