National Provider Identifier Database

INTEGRATED HEALTH CHIROPRACTIC PLLC
Chiropractor

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.


Contact Information

INTEGRATED HEALTH-CHIROPRACTIC PLLC
112 E. MYRTLE AVE.
SUITE 500
JOHNSON CITY, TN37601
Phone: 423-926-2121
Fax: 423-926-0321
Website:
Specialty Taxonomy Code
* Chiropractor 111N00000X

* Indicates primary specialty

NPI Profile & details for INTEGRATED HEALTH-CHIROPRACTIC PLLC

NPI Number 1538237888
Legal business name
LBN
INTEGRATED HEALTH-CHIROPRACTIC PLLC
Authorized official RICHARD BOLEYN - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 12/02/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • TN License #: DC0000001804
  • TN Other: 7144366 AETNA
  • TN Other: 4012411 ANTHEM
  • TN Other: 4012411 BLUE CROSS BLUE SHIELD
  • TN Other: P00065031 RR MEDICARE

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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