Provider Demographics
NPI:1922201300
Name:JEFFREY P. INGLEBYDC PC
Entity Type:Organization
Organization Name:JEFFREY P. INGLEBYDC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:D.C.
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:P
Authorized Official - Last Name:INGLEBY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:865-675-7070
Mailing Address - Street 1:10841 KINGSTON PIKE
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37934-3054
Mailing Address - Country:US
Mailing Address - Phone:865-675-7070
Mailing Address - Fax:865-675-7078
Practice Address - Street 1:10841 KINGSTON PIKE
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37934-3054
Practice Address - Country:US
Practice Address - Phone:865-675-7070
Practice Address - Fax:865-675-7078
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-06
Last Update Date:2007-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4440012OtherUNITEDHEALTHCARE
TN4106054OtherCIGNA
TN4488478OtherAETNA
TN3674174Medicaid
TN3674174Medicaid