Provider Demographics
NPI:1770068611
Name:MIDDLE TENNESSEE CHIROPRACTIC OF MURFREESBORO, PLLC
Entity type:Organization
Organization Name:MIDDLE TENNESSEE CHIROPRACTIC OF MURFREESBORO, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:DANIEL
Authorized Official - Last Name:KING
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:615-971-1798
Mailing Address - Street 1:1132 W CLARK BLVD STE C
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37129-2381
Mailing Address - Country:US
Mailing Address - Phone:615-971-1798
Mailing Address - Fax:
Practice Address - Street 1:1132 W CLARK BLVD STE C
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37129-2381
Practice Address - Country:US
Practice Address - Phone:615-971-1798
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-26
Last Update Date:2018-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty