Provider Demographics
NPI:1528209178
Name:JASKIC, SENAD (DC, LAC)
Entity Type:Individual
Prefix:DR
First Name:SENAD
Middle Name:
Last Name:JASKIC
Suffix:
Gender:M
Credentials:DC, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9413 APISON PIKE STE 108
Mailing Address - Street 2:
Mailing Address - City:OOLTEWAH
Mailing Address - State:TN
Mailing Address - Zip Code:37363-5628
Mailing Address - Country:US
Mailing Address - Phone:423-396-2100
Mailing Address - Fax:423-396-2670
Practice Address - Street 1:9413 APISON PIKE STE 108
Practice Address - Street 2:
Practice Address - City:OOLTEWAH
Practice Address - State:TN
Practice Address - Zip Code:37363-5628
Practice Address - Country:US
Practice Address - Phone:423-396-2100
Practice Address - Fax:423-396-2670
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-11
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH10592111N00000X
TNACU339171100000X
FLAP3138171100000X
TNDC2224111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No171100000XOther Service ProvidersAcupuncturist