Provider Demographics
NPI:1548204845
Name:TWIST, JOEL HANS (DC)
Entity Type:Individual
Prefix:DR
First Name:JOEL
Middle Name:HANS
Last Name:TWIST
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 1:325 S CHARLES G SEIVERS BLVD
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:TN
Mailing Address - Zip Code:37716-3942
Mailing Address - Country:US
Mailing Address - Phone:865-457-8888
Mailing Address - Fax:865-457-8886
Practice Address - Street 1:325 S CHARLES G SEIVERS BLVD
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:TN
Practice Address - Zip Code:37716-3942
Practice Address - Country:US
Practice Address - Phone:865-457-8888
Practice Address - Fax:865-457-8886
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2035111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3973439Medicaid
TN4102752OtherBLUE CROSS
TN3973439Medicaid
TN4102752OtherBLUE CROSS