Provider Demographics
NPI:1184815060
Name:CHAMBUL, LUBY (DC)
Entity Type:Individual
Prefix:
First Name:LUBY
Middle Name:
Last Name:CHAMBUL
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3811 BEDFORD AVE
Mailing Address - Street 2:SUITE 206
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37215-2518
Mailing Address - Country:US
Mailing Address - Phone:615-292-1400
Mailing Address - Fax:615-873-4690
Practice Address - Street 1:3811 BEDFORD AVE
Practice Address - Street 2:SUITE 206
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37215-2518
Practice Address - Country:US
Practice Address - Phone:615-292-1400
Practice Address - Fax:615-873-4690
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-06
Last Update Date:2013-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDC0000000627111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor