Provider Demographics
NPI:1225207855
Name:ATNIP CLINICAL OFFICES, PC
Entity Type:Organization
Organization Name:ATNIP CLINICAL OFFICES, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NORMAN
Authorized Official - Middle Name:MAX
Authorized Official - Last Name:ATNIP
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:931-526-5311
Mailing Address - Street 1:126 W JACKSON ST
Mailing Address - Street 2:
Mailing Address - City:COOKEVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38501-3918
Mailing Address - Country:US
Mailing Address - Phone:931-526-5311
Mailing Address - Fax:931-526-7369
Practice Address - Street 1:126 W JACKSON ST
Practice Address - Street 2:
Practice Address - City:COOKEVILLE
Practice Address - State:TN
Practice Address - Zip Code:38501-3918
Practice Address - Country:US
Practice Address - Phone:931-526-5311
Practice Address - Fax:931-526-7369
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-28
Last Update Date:2012-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN116111N00000X
TN17958207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN350101623OtherMEDICARE RAILROAD
TN3670691Medicare PIN
TNT74742Medicare UPIN
6292360001Medicare NSC