Provider Demographics
NPI:1306224878
Name:AMERICAN CHIROPRACTIC HEALTH CLINIC, P.C
Entity Type:Organization
Organization Name:AMERICAN CHIROPRACTIC HEALTH CLINIC, P.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CLINIC DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:OSCAR
Authorized Official - Middle Name:CHUKWUEMEKA
Authorized Official - Last Name:IWORAH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:615-242-6005
Mailing Address - Street 1:PO BOX 22800
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37202-2800
Mailing Address - Country:US
Mailing Address - Phone:615-242-6005
Mailing Address - Fax:615-242-1315
Practice Address - Street 1:1326 ROSA L PARKS BLVD
Practice Address - Street 2:SUITE B
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37208-2576
Practice Address - Country:US
Practice Address - Phone:615-242-6005
Practice Address - Fax:615-242-1315
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-15
Last Update Date:2015-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDC0000000870111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3675090Medicare Oscar/Certification
TNT82068Medicare UPIN