Doctor Name: | DR. ROBERT ANDREW MONGIELLO |
NPI Number: | 1063509776 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DC |
License Number: | DC452 |
Business Practice Address: | 6008 Ringgold Rd Chattanooga, TN - 374123828 |
Business Phone Number: | 4238551100 |
Business Fax Number: | |
Mailing Address: | 6008 Ringgold Rd, CHATTANOOGA |
State: | TN |
Postal Code: | 374123828 |
Phone Number: | 4238551100 |
Fax Number: | |
NPI Enumeration Date: | 10/06/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | DC452 |
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. |