Provider Demographics
NPI:1679589105
Name:BANNING, CHRIS ALLEN (DC)
Entity Type:Individual
Prefix:DR
First Name:CHRIS
Middle Name:ALLEN
Last Name:BANNING
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 1:495 MARLIN RD
Mailing Address - Street 2:
Mailing Address - City:WHITE HOUSE
Mailing Address - State:TN
Mailing Address - Zip Code:37188-5405
Mailing Address - Country:US
Mailing Address - Phone:615-830-6318
Mailing Address - Fax:615-672-4956
Practice Address - Street 1:147 RAYMOND HIRSCH PKWY STE B
Practice Address - Street 2:
Practice Address - City:WHITE HOUSE
Practice Address - State:TN
Practice Address - Zip Code:37188-8220
Practice Address - Country:US
Practice Address - Phone:615-672-7878
Practice Address - Fax:615-672-4956
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-01
Last Update Date:2020-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDC 716111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN5952037OtherCIGNA PROVIDER NUMBER
TN0103949OtherBCBS PROVIDER NUMBER
TN3675348Medicaid
TN0103949OtherBCBS PROVIDER NUMBER
TNT92447Medicare UPIN