Provider Demographics
NPI:1760539134
Name:STANGEL, TOMAS E (DC, DACNB, FACFN)
Entity Type:Individual
Prefix:DR
First Name:TOMAS
Middle Name:E
Last Name:STANGEL
Suffix:
Gender:M
Credentials:DC, DACNB, FACFN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6106 SHALLOWFORD RD.
Mailing Address - Street 2:SUITE 104
Mailing Address - City:CHATTANOOGA, TN
Mailing Address - State:TN
Mailing Address - Zip Code:37421-9994
Mailing Address - Country:US
Mailing Address - Phone:423-468-3072
Mailing Address - Fax:423-468-3164
Practice Address - Street 1:6106 SHALLOWFORD RD.
Practice Address - Street 2:SUITE 104
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37421-9994
Practice Address - Country:US
Practice Address - Phone:423-468-3072
Practice Address - Fax:423-468-3164
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-05
Last Update Date:2012-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN778111N00000X, 111NN0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN0400XChiropractic ProvidersChiropractorNeurology
No111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3972248Medicare ID - Type Unspecified
U35202Medicare UPIN