Provider Demographics
NPI:1801357058
Name:BONE AND JOINT INSTITUTE OF TENNESSEE INC
Entity Type:Organization
Organization Name:BONE AND JOINT INSTITUTE OF TENNESSEE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:ANGELINE
Authorized Official - Middle Name:
Authorized Official - Last Name:VAN UTRECHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-791-2641
Mailing Address - Street 1:3000 EDWARD CURD LN
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-5791
Mailing Address - Country:US
Mailing Address - Phone:615-791-2630
Mailing Address - Fax:
Practice Address - Street 1:1106 ELLISTON WAY STE 300
Practice Address - Street 2:
Practice Address - City:THOMPSONS STATION
Practice Address - State:TN
Practice Address - Zip Code:37179-4407
Practice Address - Country:US
Practice Address - Phone:615-791-2460
Practice Address - Fax:615-791-2639
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-29
Last Update Date:2024-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty