Provider Demographics
NPI:1356618482
Name:YARBROUGH, CHAD ALAN (DC)
Entity type:Individual
Prefix:DR
First Name:CHAD
Middle Name:ALAN
Last Name:YARBROUGH
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 1:110 GLANCY ST 102
Mailing Address - Street 2:
Mailing Address - City:GOODLETTSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37072-2314
Mailing Address - Country:US
Mailing Address - Phone:615-868-7676
Mailing Address - Fax:615-868-8345
Practice Address - Street 1:110 GLANCY ST 102
Practice Address - Street 2:
Practice Address - City:GOODLETTSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37072-2314
Practice Address - Country:US
Practice Address - Phone:615-868-7676
Practice Address - Fax:615-868-8345
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-17
Last Update Date:2015-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2556111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor