Provider Demographics
NPI:1588215313
Name:CAIN FAMILY CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:CAIN FAMILY CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:T
Authorized Official - Last Name:CAIN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:937-710-0261
Mailing Address - Street 1:5405 CALIBUR LN
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37918-3744
Mailing Address - Country:US
Mailing Address - Phone:937-710-0261
Mailing Address - Fax:865-999-4553
Practice Address - Street 1:7039 MAYNARDVILLE PIKE
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37918-5735
Practice Address - Country:US
Practice Address - Phone:865-999-4554
Practice Address - Fax:865-999-4553
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-23
Last Update Date:2019-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty