Provider Demographics
NPI:1811012792
Name:FARMER, HAL T (DC)
Entity Type:Individual
Prefix:DR
First Name:HAL
Middle Name:T
Last Name:FARMER
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:PO BOX 1402
Mailing Address - Street 2:
Mailing Address - City:GOODLETTSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37070-1402
Mailing Address - Country:US
Mailing Address - Phone:615-855-2242
Mailing Address - Fax:615-851-1235
Practice Address - Street 1:511 RIVERGATE PKWY
Practice Address - Street 2:
Practice Address - City:GOODLETTSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37072
Practice Address - Country:US
Practice Address - Phone:615-855-2242
Practice Address - Fax:615-851-1235
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN00522111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3674183Medicare ID - Type UnspecifiedMEDICARE
TNT74651Medicare UPIN