Provider Demographics
NPI:1790731172
Name:RASNICK, BENJAMIN HARMON (DC)
Entity Type:Individual
Prefix:DR
First Name:BENJAMIN
Middle Name:HARMON
Last Name:RASNICK
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 1:247 E WATT ST
Mailing Address - Street 2:
Mailing Address - City:ALCOA
Mailing Address - State:TN
Mailing Address - Zip Code:37701-2236
Mailing Address - Country:US
Mailing Address - Phone:865-984-2001
Mailing Address - Fax:865-983-4194
Practice Address - Street 1:247 E WATT ST
Practice Address - Street 2:
Practice Address - City:ALCOA
Practice Address - State:TN
Practice Address - Zip Code:37701-2236
Practice Address - Country:US
Practice Address - Phone:865-984-2001
Practice Address - Fax:865-983-4194
Is Sole Proprietor?:No
Enumeration Date:2006-05-26
Last Update Date:2022-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2255111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor