Provider Demographics
NPI:1003118126
Name:KEISER CHIROPRACTIC NEUROLOGY CENTER, PC
Entity Type:Organization
Organization Name:KEISER CHIROPRACTIC NEUROLOGY CENTER, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NATHAN
Authorized Official - Middle Name:D
Authorized Official - Last Name:KEISER
Authorized Official - Suffix:
Authorized Official - Credentials:DC DACNB
Authorized Official - Phone:615-889-2343
Mailing Address - Street 1:936 ALLEN RD
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37214-3530
Mailing Address - Country:US
Mailing Address - Phone:615-889-2343
Mailing Address - Fax:615-391-5536
Practice Address - Street 1:936 ALLEN RD
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37214-3530
Practice Address - Country:US
Practice Address - Phone:615-889-2343
Practice Address - Fax:615-391-5536
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-22
Last Update Date:2010-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNTN 2403111NN0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NN0400XChiropractic ProvidersChiropractorNeurologyGroup - Single Specialty