Provider Demographics
NPI:1922349240
Name:NEUROPATHY CENTER OF CHATTANOOGA, PC
Entity Type:Organization
Organization Name:NEUROPATHY CENTER OF CHATTANOOGA, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:DOUGLAS
Authorized Official - Last Name:LENSGRAF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:423-510-6900
Mailing Address - Street 1:PO BOX 52308
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37950-2308
Mailing Address - Country:US
Mailing Address - Phone:423-510-6900
Mailing Address - Fax:423-826-4780
Practice Address - Street 1:5620 BRAINERD RD
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37411-5310
Practice Address - Country:US
Practice Address - Phone:423-510-6900
Practice Address - Fax:423-826-4780
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-12
Last Update Date:2013-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN49391207L00000X
207Q00000X
TN36478207Q00000X
TN18742207R00000X
TN1053363A00000X
TN11780363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Multi-Specialty
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty