Provider Demographics
NPI:1235631953
Name:ETHAN TODD CAUGHEY
Entity Type:Organization
Organization Name:ETHAN TODD CAUGHEY
Other - Org Name:TODD CAUGHEY D C
Other - Org Type:Other Name
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ETHAN
Authorized Official - Middle Name:TODD
Authorized Official - Last Name:CAUGHEY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:615-337-5051
Mailing Address - Street 1:284 SEABOARD LANE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-8205
Mailing Address - Country:US
Mailing Address - Phone:615-337-5051
Mailing Address - Fax:
Practice Address - Street 1:284 SEABOARD LANE
Practice Address - Street 2:SUITE 100
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-8205
Practice Address - Country:US
Practice Address - Phone:615-791-9917
Practice Address - Fax:615-219-0005
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-08
Last Update Date:2018-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1925111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNQ036356Medicaid