Provider Demographics
NPI:1386006187
Name:AK HEALTH CONNECTION LLC
Entity Type:Organization
Organization Name:AK HEALTH CONNECTION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:S
Authorized Official - Last Name:BEAUCHAMP
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:615-574-5075
Mailing Address - Street 1:1100 KERMIT DR
Mailing Address - Street 2:SUITE 26
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37217-2121
Mailing Address - Country:US
Mailing Address - Phone:615-574-5075
Mailing Address - Fax:
Practice Address - Street 1:1100 KERMIT DR
Practice Address - Street 2:SUITE 26
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37217-2121
Practice Address - Country:US
Practice Address - Phone:615-361-1172
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-22
Last Update Date:2016-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2913111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty