Provider Demographics
NPI:1295918704
Name:SUPERIOR HEALTH CHIROPRACTIC PLLC
Entity type:Organization
Organization Name:SUPERIOR HEALTH CHIROPRACTIC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTIC PHYSICIAN
Authorized Official - Prefix:MR
Authorized Official - First Name:SHANURI
Authorized Official - Middle Name:DERRICOTTE
Authorized Official - Last Name:SETTLES
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:901-452-4488
Mailing Address - Street 1:80 N TILLMAN ST
Mailing Address - Street 2:SUITE 102
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38911
Mailing Address - Country:US
Mailing Address - Phone:901-452-4488
Mailing Address - Fax:901-452-3388
Practice Address - Street 1:80 N TILLMAN ST
Practice Address - Street 2:SUITE 102
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38911
Practice Address - Country:US
Practice Address - Phone:901-452-4488
Practice Address - Fax:901-452-3388
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-07
Last Update Date:2007-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1982111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty