Provider Demographics
NPI:1538988662
Name:LKHAGVA, ERDENEBILEG (DC)
Entity type:Individual
Prefix:DR
First Name:ERDENEBILEG
Middle Name:
Last Name:LKHAGVA
Suffix:
Gender:M
Credentials:DC
Other - Prefix:DR
Other - First Name:ERDENEBILEG
Other - Middle Name:
Other - Last Name:LKHAGVA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:413 MONTBROOK LN
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37919-2704
Mailing Address - Country:US
Mailing Address - Phone:865-282-4040
Mailing Address - Fax:
Practice Address - Street 1:413 MONTBROOK LN
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37919-2704
Practice Address - Country:US
Practice Address - Phone:865-282-4040
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-07
Last Update Date:2024-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3755111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor