Provider Demographics
NPI:1467230789
Name:KNOXVILLE FAMILY CHIROPRACTIC WELLNESS, PLLC
Entity Type:Organization
Organization Name:KNOXVILLE FAMILY CHIROPRACTIC WELLNESS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:LUNDGREN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:865-214-1891
Mailing Address - Street 1:212 S PETERS RD STE 101
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37923-5217
Mailing Address - Country:US
Mailing Address - Phone:865-214-1891
Mailing Address - Fax:865-325-0891
Practice Address - Street 1:212 S PETERS RD STE 101
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37923-5217
Practice Address - Country:US
Practice Address - Phone:865-214-1891
Practice Address - Fax:865-325-0891
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-18
Last Update Date:2023-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty