Provider Demographics
NPI:1770860371
Name:MORGAN COUNTY CHIROPRACTIC,PLLC
Entity Type:Organization
Organization Name:MORGAN COUNTY CHIROPRACTIC,PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER PLLC
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:BRAD
Authorized Official - Last Name:FARMER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:423-346-5656
Mailing Address - Street 1:PO BOX 848
Mailing Address - Street 2:
Mailing Address - City:WARTBURG
Mailing Address - State:TN
Mailing Address - Zip Code:37887-0848
Mailing Address - Country:US
Mailing Address - Phone:423-346-5656
Mailing Address - Fax:423-346-5242
Practice Address - Street 1:1277 KNOXVILLE HWY
Practice Address - Street 2:
Practice Address - City:WARTBURG
Practice Address - State:TN
Practice Address - Zip Code:37887-4201
Practice Address - Country:US
Practice Address - Phone:423-346-5656
Practice Address - Fax:423-346-5242
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-09
Last Update Date:2011-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1174111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3677556OtherMEDICARE PTAN
TN1922036680OtherINDIVIDUAL NPI