Provider Demographics
NPI:1720366727
Name:PAYNE CHIROPRACTIC PLLC
Entity Type:Organization
Organization Name:PAYNE CHIROPRACTIC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANKLIN
Authorized Official - Middle Name:V
Authorized Official - Last Name:PAYNE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:731-616-0889
Mailing Address - Street 1:2574 CHRISTMASVILLE CV
Mailing Address - Street 2:SUITE A
Mailing Address - City:JACKSON
Mailing Address - State:TN
Mailing Address - Zip Code:38305-7011
Mailing Address - Country:US
Mailing Address - Phone:731-265-2100
Mailing Address - Fax:731-265-2102
Practice Address - Street 1:2574 CHRISTMASVILLE CV
Practice Address - Street 2:SUITE A
Practice Address - City:JACKSON
Practice Address - State:TN
Practice Address - Zip Code:38305-7011
Practice Address - Country:US
Practice Address - Phone:731-265-2100
Practice Address - Fax:731-265-2102
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-26
Last Update Date:2011-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2495111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty