Provider Demographics
NPI:1467925982
Name:DYNAMIC CHIROPRACTIC CLINICS
Entity Type:Organization
Organization Name:DYNAMIC CHIROPRACTIC CLINICS
Other - Org Name:STANLICK CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JEREMY
Authorized Official - Middle Name:W
Authorized Official - Last Name:BILLS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:615-907-7490
Mailing Address - Street 1:3918 CEDAR GLADES DR
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37128-2996
Mailing Address - Country:US
Mailing Address - Phone:615-907-7490
Mailing Address - Fax:605-907-7489
Practice Address - Street 1:3918 CEDAR GLADES DR
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37128-2996
Practice Address - Country:US
Practice Address - Phone:615-907-7490
Practice Address - Fax:615-907-7489
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-08
Last Update Date:2023-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty