Provider Demographics
NPI:1649346693
Name:OBERSTEADT, HENRY LOUIS (DC)
Entity type:Individual
Prefix:DR
First Name:HENRY
Middle Name:LOUIS
Last Name:OBERSTEADT
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4515 HARDING PIKE
Mailing Address - Street 2:SUITE 110
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37205-2118
Mailing Address - Country:US
Mailing Address - Phone:615-269-5558
Mailing Address - Fax:615-269-5973
Practice Address - Street 1:4515 HARDING PIKE
Practice Address - Street 2:SUITE 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
Is Sole Proprietor?:No
Enumeration Date:2006-11-28
Last Update Date:2013-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN167111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor