Provider Demographics
NPI:1255488276
Name:SUNSHINE CHIROPRACTIC CLINIC
Entity Type:Organization
Organization Name:SUNSHINE CHIROPRACTIC CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DEE ANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:SUNSHINE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:865-984-6850
Mailing Address - Street 1:404 S NORTHSHORE DR
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37919-7542
Mailing Address - Country:US
Mailing Address - Phone:865-584-0080
Mailing Address - Fax:865-584-0401
Practice Address - Street 1:404 S NORTHSHORE DR
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37919-7542
Practice Address - Country:US
Practice Address - Phone:865-584-0080
Practice Address - Fax:865-584-0401
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3677731Medicare ID - Type Unspecified
TNT74762Medicare UPIN