Provider Demographics
NPI:1710023338
Name:21ST CENTURY CHIROPRACTIC P.C.
Entity Type:Organization
Organization Name:21ST CENTURY CHIROPRACTIC P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:VICTOR
Authorized Official - Middle Name:TIBOR
Authorized Official - Last Name:PALFFY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:931-924-3474
Mailing Address - Street 1:PO BOX 1598
Mailing Address - Street 2:
Mailing Address - City:MONTEAGLE
Mailing Address - State:TN
Mailing Address - Zip Code:37356-1598
Mailing Address - Country:US
Mailing Address - Phone:931-924-3474
Mailing Address - Fax:931-924-3479
Practice Address - Street 1:16 EAST MAIN ST
Practice Address - Street 2:
Practice Address - City:MONTEAGLE
Practice Address - State:TN
Practice Address - Zip Code:37356
Practice Address - Country:US
Practice Address - Phone:931-924-3474
Practice Address - Fax:931-924-3479
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-30
Last Update Date:2008-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN001120111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3678051Medicare PIN
TNX-22820Medicare UPIN