Provider Demographics
NPI:1093989451
Name:NASHVILLE SPINE & REHAB CENTER, LLC
Entity Type:Organization
Organization Name:NASHVILLE SPINE & REHAB CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTIC PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:PAYNE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:615-370-0830
Mailing Address - Street 1:8115 ISABELLA LN
Mailing Address - Street 2:SUITE 8
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-9109
Mailing Address - Country:US
Mailing Address - Phone:615-370-0830
Mailing Address - Fax:
Practice Address - Street 1:8115 ISABELLA LN
Practice Address - Street 2:SUITE 8
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-9109
Practice Address - Country:US
Practice Address - Phone:615-370-0830
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-16
Last Update Date:2008-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1869111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty