Provider Demographics
NPI:1003236241
Name:JOY CHIROPRACTIC CLINIC, INC.
Entity Type:Organization
Organization Name:JOY CHIROPRACTIC CLINIC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOY-LYNN
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:NORRIS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:423-298-1488
Mailing Address - Street 1:9429 CHERI BETH CIR
Mailing Address - Street 2:
Mailing Address - City:OOLTEWAH
Mailing Address - State:TN
Mailing Address - Zip Code:37363-8980
Mailing Address - Country:US
Mailing Address - Phone:423-298-1488
Mailing Address - Fax:423-531-4123
Practice Address - Street 1:9413 APISON PIKE
Practice Address - Street 2:SUITE 122
Practice Address - City:COLLEGE DALE
Practice Address - State:TN
Practice Address - Zip Code:37363-8661
Practice Address - Country:US
Practice Address - Phone:423-298-1488
Practice Address - Fax:423-531-4123
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-25
Last Update Date:2014-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2050111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN103I353476OtherMEDICARE PTAN