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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 Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for INTEGRATED HEALTH-CHIROPRACTIC PLLC

NPI Number 1538237888
LBN Legal business name INTEGRATED HEALTH-CHIROPRACTIC PLLC
Authorized official RICHARD BOLEYN - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 12/02/2006
Last updated 08/22/2020 - About 6 years ago
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 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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