Organization Name: | 100 PERCENT CHIROPRACTIC NASHVILLE ONE LLC |
NPI Number: | 1548654379 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RANDEL EVERETTE WHITEHEAD (DOCTOR OF CHIROPRACTIC) |
Mailing Address: | 320 Liberty Pike Ste 120 Franklin |
State: | TN US |
Postal Code: | 370643199 |
Phone Number: | 6155913321 |
Fax Number: | |
NPI Enumeration Date: | 03/18/2015 |
NPI Last Update Date: | 03/18/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 302R00000X |
License Number: | CHIR009473 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Managed Care Organizations |
Taxonomy Classification: | Health Maintenance Organization |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) A form of health insurance in which its members prepay a premium for the HMO |