Provider Demographics
NPI:1851595169
Name:VOLUNTEER CHIROPRACTIC, PC
Entity Type:Organization
Organization Name:VOLUNTEER CHIROPRACTIC, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:DANIEL
Authorized Official - Last Name:WATKINS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:865-966-5885
Mailing Address - Street 1:10826 KINGSTON PIKE
Mailing Address - Street 2:SUITE B
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37934-3059
Mailing Address - Country:US
Mailing Address - Phone:865-966-5885
Mailing Address - Fax:865-966-5995
Practice Address - Street 1:10826 KINGSTON PIKE
Practice Address - Street 2:SUITE B
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37934-3059
Practice Address - Country:US
Practice Address - Phone:865-966-5885
Practice Address - Fax:865-966-5995
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-12
Last Update Date:2012-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNTN1854111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1023066479OtherINDIVIDUAL NPI
TN3973392Medicare ID - Type UnspecifiedINDIVIDUAL MEDICARE
TN1023066479OtherINDIVIDUAL NPI