Provider Demographics
NPI:1508370347
Name:RUSH, CHAD M (DC)
Entity Type:Individual
Prefix:
First Name:CHAD
Middle Name:M
Last Name:RUSH
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4004 HILLSBORO PIKE # 125
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37215-2791
Mailing Address - Country:US
Mailing Address - Phone:615-292-8789
Mailing Address - Fax:615-383-6852
Practice Address - Street 1:4004 HILLSBORO PIKE # 125
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37215-2791
Practice Address - Country:US
Practice Address - Phone:615-292-8789
Practice Address - Fax:615-383-6852
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-30
Last Update Date:2022-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDC0000003047111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor