Provider Demographics
NPI:1083761092
Name:SUNSHINE CHIROPRACTIC CLINIC
Entity Type:Organization
Organization Name:SUNSHINE CHIROPRACTIC CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BARRY
Authorized Official - Middle Name:
Authorized Official - Last Name:SUNSHINE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:865-984-6850
Mailing Address - Street 1:380 HIGH ST
Mailing Address - Street 2:
Mailing Address - City:MARYVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37804-5846
Mailing Address - Country:US
Mailing Address - Phone:865-984-6850
Mailing Address - Fax:865-984-9986
Practice Address - Street 1:380 HIGH ST
Practice Address - Street 2:
Practice Address - City:MARYVILLE
Practice Address - State:TN
Practice Address - Zip Code:37804-5846
Practice Address - Country:US
Practice Address - Phone:865-984-6850
Practice Address - Fax:865-984-9986
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-04
Last Update Date:2009-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty