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Contact Information

JOEL W DURHAM, DC
25 CORPORATE BLVD
JACKSON, TN38305-2314
 Phone: 731-664-2929
 Fax: 731-664-7555
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Physician

111NS0005X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for JOEL W DURHAM · (Male)

NPI Number 1710949722
Status Active
Credentials DC (Doctor of Chiropractic)
Entity Individual
Enumeration date 04/05/2006
Last updated 08/09/2013 - About 13 years ago
Sole proprietor 1 Yes
Identifiers
  • TN License # DC-831
  • TN Other 5744028 AETNA
  • TN Other 3154438 BLUE CROSS
  • TN Other 1719192 CIGNA
  • TN Other 350050083 RAILROAD MEDICARE
  • TN Other 00001997769-02 UNITED HEALTHCARE OF TENN
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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