Provider Demographics
NPI:1225223159
Name:BJERKNESS FAMILY CHIROPRACTIC PC
Entity Type:Organization
Organization Name:BJERKNESS FAMILY CHIROPRACTIC PC
Other - Org Name:SMOKY MOUNTAIN CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:LEROY
Authorized Official - Last Name:BJERKNESS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:828-488-9033
Mailing Address - Street 1:PO BOX 2838
Mailing Address - Street 2:
Mailing Address - City:BRYSON CITY
Mailing Address - State:NC
Mailing Address - Zip Code:28713-2838
Mailing Address - Country:US
Mailing Address - Phone:828-488-9033
Mailing Address - Fax:828-488-6442
Practice Address - Street 1:264 US 19 S
Practice Address - Street 2:SUITE 3
Practice Address - City:BRYSON CITY
Practice Address - State:NC
Practice Address - Zip Code:28713-9513
Practice Address - Country:US
Practice Address - Phone:828-488-9033
Practice Address - Fax:828-488-6442
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-13
Last Update Date:2007-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3102111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty