Doctor Name: | DR. ERIC NEIL OLSEN |
NPI Number: | 1063402626 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DC |
License Number: | 001099 |
Business Practice Address: | 6857 Mountain View Rd Suite 105 Ooltewah, TN - 373636561 |
Business Phone Number: | 4232385056 |
Business Fax Number: | 4232385057 |
Mailing Address: | 6857 Mountain View Rd, Suite 105 OOLTEWAH |
State: | TN |
Postal Code: | 373636561 |
Phone Number: | 4232385056 |
Fax Number: | 4232385057 |
NPI Enumeration Date: | 10/25/2005 |
NPI Last Update Date: | 12/01/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 001099 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | 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. |