Provider Demographics
NPI:1922005248
Name:ATNIP, ERIC ALAN (DC)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:ALAN
Last Name:ATNIP
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 1:208 N CHURCH ST
Mailing Address - Street 2:VFW BUILDING
Mailing Address - City:LIVINGSTON
Mailing Address - State:TN
Mailing Address - Zip Code:38570-1866
Mailing Address - Country:US
Mailing Address - Phone:931-823-2108
Mailing Address - Fax:931-823-2108
Practice Address - Street 1:208 N CHURCH ST
Practice Address - Street 2:VFW BUILDING
Practice Address - City:LIVINGSTON
Practice Address - State:TN
Practice Address - Zip Code:38570-1866
Practice Address - Country:US
Practice Address - Phone:931-823-2108
Practice Address - Fax:931-823-2108
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDC131111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3671847Medicare ID - Type Unspecified
T74469Medicare UPIN