Provider Demographics
NPI:1467606426
Name:HILLCREST CHIROPRACTIC
Entity Type:Organization
Organization Name:HILLCREST CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:PRICE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:931-906-9679
Mailing Address - Street 1:1762B MEMORIAL DR STE 202
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37043-4520
Mailing Address - Country:US
Mailing Address - Phone:931-906-9679
Mailing Address - Fax:931-906-9576
Practice Address - Street 1:1762B MEMORIAL DR STE 202
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37043-4520
Practice Address - Country:US
Practice Address - Phone:931-906-9679
Practice Address - Fax:931-906-9576
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-04
Last Update Date:2013-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2236111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty