Provider Demographics
NPI:1396938759
Name:BELLE MEADE CHIROPRACTIC CENTER P.C.
Entity type:Organization
Organization Name:BELLE MEADE CHIROPRACTIC CENTER P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:H.
Authorized Official - Middle Name:LOUIS
Authorized Official - Last Name:OBERSTEADT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:615-269-5558
Mailing Address - Street 1:4515 HARDING PIKE
Mailing Address - Street 2:STE 110
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37205-2118
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4515 HARDING PIKE
Practice Address - Street 2:STE 110
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37205-2118
Practice Address - Country:US
Practice Address - Phone:615-269-5558
Practice Address - Fax:615-269-5973
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-20
Last Update Date:2009-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000000167111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
3972494Medicare PIN