Provider Demographics
NPI:1386182715
Name:HIXSON CHIROPRACTIC CLINIC P. C.
Entity Type:Organization
Organization Name:HIXSON CHIROPRACTIC CLINIC P. C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:I
Authorized Official - Last Name:ARCO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:423-842-1440
Mailing Address - Street 1:5437 HIXSON PIKE
Mailing Address - Street 2:
Mailing Address - City:HIXSON
Mailing Address - State:TN
Mailing Address - Zip Code:37343-3238
Mailing Address - Country:US
Mailing Address - Phone:423-842-1440
Mailing Address - Fax:423-842-1409
Practice Address - Street 1:5437 HIXSON PIKE
Practice Address - Street 2:
Practice Address - City:HIXSON
Practice Address - State:TN
Practice Address - Zip Code:37343-3238
Practice Address - Country:US
Practice Address - Phone:423-842-1440
Practice Address - Fax:423-842-1409
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-06
Last Update Date:2017-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty