Provider Demographics
NPI:1477957660
Name:COMMUNITY CHIROPRACTIC
Entity Type:Organization
Organization Name:COMMUNITY CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CURTIS
Authorized Official - Middle Name:E
Authorized Official - Last Name:DAMIEN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:901-872-0760
Mailing Address - Street 1:8110 HWY 51 NORTH
Mailing Address - Street 2:SUITE 2
Mailing Address - City:MILLINGTON
Mailing Address - State:TN
Mailing Address - Zip Code:38053
Mailing Address - Country:US
Mailing Address - Phone:901-872-0760
Mailing Address - Fax:901-872-3120
Practice Address - Street 1:8110 HWY 51 NORTH
Practice Address - Street 2:SUITE 2
Practice Address - City:MILLINGTON
Practice Address - State:TN
Practice Address - Zip Code:38053
Practice Address - Country:US
Practice Address - Phone:901-872-0760
Practice Address - Fax:901-872-3120
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-16
Last Update Date:2014-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNTN14411DC111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty