Provider Demographics
NPI:1568590602
Name:AMERICAN CHIROPRACTIC HEALTH CLINIC PC
Entity Type:Organization
Organization Name:AMERICAN CHIROPRACTIC HEALTH CLINIC PC
Other - Org Name:DR OSCAR C IWORAH DC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:OSCAR
Authorized Official - Middle Name:C
Authorized Official - Last Name:IWORAH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:615-242-6005
Mailing Address - Street 1:PO BOX 22800
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37202-2800
Mailing Address - Country:US
Mailing Address - Phone:615-242-6005
Mailing Address - Fax:615-242-1315
Practice Address - Street 1:1326 EIGHTH AVENUE NORTH
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37208-2576
Practice Address - Country:US
Practice Address - Phone:615-242-6005
Practice Address - Fax:615-242-1315
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN671111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNAMPS92434OtherBCBS OF TN
TNAMPS92434OtherBCBS OF TN
TN=========OtherFED ID IRS