Provider Demographics
NPI:1154088466
Name:FREEDOM CHIROPRACTIC SPINE AND INJURY CENTER
Entity Type:Organization
Organization Name:FREEDOM CHIROPRACTIC SPINE AND INJURY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:DARNELL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:515-554-3451
Mailing Address - Street 1:1809 WITT WAY DR
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:TN
Mailing Address - Zip Code:37174-2594
Mailing Address - Country:US
Mailing Address - Phone:515-554-3451
Mailing Address - Fax:
Practice Address - Street 1:150 STEPHEN P YOKICH PWKY
Practice Address - Street 2:SUITE G
Practice Address - City:SPRING HILL
Practice Address - State:TN
Practice Address - Zip Code:37174
Practice Address - Country:US
Practice Address - Phone:515-554-3451
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-22
Last Update Date:2021-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty