Provider Demographics
NPI:1710104989
Name:SWEENEY, JIM (DC)
Entity Type:Individual
Prefix:DR
First Name:JIM
Middle Name:
Last Name:SWEENEY
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 1:201 THOMPSON LN
Mailing Address - Street 2:103
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37211-2436
Mailing Address - Country:US
Mailing Address - Phone:615-331-7040
Mailing Address - Fax:615-331-2692
Practice Address - Street 1:201 THOMPSON LN
Practice Address - Street 2:103
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37211-2436
Practice Address - Country:US
Practice Address - Phone:615-331-7040
Practice Address - Fax:615-331-2692
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-19
Last Update Date:2021-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2182111NX0800X, 111NR0400X, 111NX0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation
No111NX0800XChiropractic ProvidersChiropractorOrthopedic
No111NX0100XChiropractic ProvidersChiropractorOccupational Health