Provider Demographics
NPI:1205024296
Name:ALAN C. LENSGRAF DC
Entity Type:Organization
Organization Name:ALAN C. LENSGRAF DC
Other - Org Name:WEST KNOW CHIROPRACTIC GROUP
Other - Org Type:Other Name
Authorized Official - Title/Position:CLINIC DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:C
Authorized Official - Last Name:LENSGRAF
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:865-675-2663
Mailing Address - Street 1:11320 KINGSTON PIKE
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37934-2858
Mailing Address - Country:US
Mailing Address - Phone:865-675-2663
Mailing Address - Fax:
Practice Address - Street 1:11320 KINGSTON PIKE
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37934-2858
Practice Address - Country:US
Practice Address - Phone:865-675-2663
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-04
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDC000000446111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNT74685Medicare UPIN
TN36745321Medicare PIN