Provider Demographics
NPI:1710288980
Name:MESECK FAMILY CHIROPRACTIC LLC
Entity type:Organization
Organization Name:MESECK FAMILY CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:JACOB
Authorized Official - Middle Name:VICTOR
Authorized Official - Last Name:MESECK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:615-266-2213
Mailing Address - Street 1:2199 FAIRVIEW BLVD
Mailing Address - Street 2:
Mailing Address - City:FAIRVIEW
Mailing Address - State:TN
Mailing Address - Zip Code:37062-9032
Mailing Address - Country:US
Mailing Address - Phone:615-266-2213
Mailing Address - Fax:615-266-2365
Practice Address - Street 1:2199 FAIRVIEW BLVD
Practice Address - Street 2:
Practice Address - City:FAIRVIEW
Practice Address - State:TN
Practice Address - Zip Code:37062-9032
Practice Address - Country:US
Practice Address - Phone:615-266-2213
Practice Address - Fax:615-266-2365
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-04
Last Update Date:2025-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2322261QH0100X
TN2308261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service