Provider Demographics
NPI:1942342324
Name:LOVIN, JOHN A (DC)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:A
Last Name:LOVIN
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 1:409 HIGHWAY 79
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:TN
Mailing Address - Zip Code:37058-6941
Mailing Address - Country:US
Mailing Address - Phone:931-232-9500
Mailing Address - Fax:931-232-2331
Practice Address - Street 1:409 HIGHWAY 79
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:TN
Practice Address - Zip Code:37058-6941
Practice Address - Country:US
Practice Address - Phone:931-232-9500
Practice Address - Fax:931-232-2331
Is Sole Proprietor?:No
Enumeration Date:2007-02-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2754532111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4045811OtherBCBS
10809635OtherCAQH
10809635OtherCAQH
3678301Medicare ID - Type Unspecified