Provider Demographics
NPI:1861430753
Name:JEFF HALL INC
Entity type:Organization
Organization Name:JEFF HALL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFF
Authorized Official - Middle Name:
Authorized Official - Last Name:HALL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:423-338-8000
Mailing Address - Street 1:3555 KEITH ST NW
Mailing Address - Street 2:SUITE 103
Mailing Address - City:CLEVELAND
Mailing Address - State:TN
Mailing Address - Zip Code:37312-4375
Mailing Address - Country:US
Mailing Address - Phone:423-614-7616
Mailing Address - Fax:423-614-7668
Practice Address - Street 1:4867 HIGHWAY 411
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:TN
Practice Address - Zip Code:37323-5360
Practice Address - Country:US
Practice Address - Phone:423-338-8000
Practice Address - Fax:423-338-8002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-03
Last Update Date:2007-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDC0000001918111NN1001X
TNDC0000001789111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NN1001XChiropractic ProvidersChiropractorNutritionGroup - Multi-Specialty