Provider Demographics
NPI:1760680102
Name:WARD CHIROPRACTIC CENTER PC
Entity Type:Organization
Organization Name:WARD CHIROPRACTIC CENTER PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CHARLEY
Authorized Official - Middle Name:FRANZ
Authorized Official - Last Name:WARD
Authorized Official - Suffix:
Authorized Official - Credentials:D C
Authorized Official - Phone:423-542-2913
Mailing Address - Street 1:851 W ELK AVE
Mailing Address - Street 2:
Mailing Address - City:ELIZABETHTON
Mailing Address - State:TN
Mailing Address - Zip Code:37643-2946
Mailing Address - Country:US
Mailing Address - Phone:423-542-2913
Mailing Address - Fax:423-542-3485
Practice Address - Street 1:851 W ELK AVE
Practice Address - Street 2:
Practice Address - City:ELIZABETHTON
Practice Address - State:TN
Practice Address - Zip Code:37643-2946
Practice Address - Country:US
Practice Address - Phone:423-542-2913
Practice Address - Fax:423-542-3485
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-06
Last Update Date:2010-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty