Provider Demographics
NPI:1801435912
Name:INTUNE CHIROPRACTIC CLINIC, INC.
Entity type:Organization
Organization Name:INTUNE CHIROPRACTIC CLINIC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:ALBERT
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:MCGUIRE
Authorized Official - Suffix:IV
Authorized Official - Credentials:DC
Authorized Official - Phone:615-553-2268
Mailing Address - Street 1:650 S MOUNT JULIET RD STE 105
Mailing Address - Street 2:
Mailing Address - City:MT JULIET
Mailing Address - State:TN
Mailing Address - Zip Code:37122-6491
Mailing Address - Country:US
Mailing Address - Phone:615-553-2268
Mailing Address - Fax:615-553-4362
Practice Address - Street 1:650 S MOUNT JULIET RD STE 105
Practice Address - Street 2:
Practice Address - City:MT JULIET
Practice Address - State:TN
Practice Address - Zip Code:37122-6491
Practice Address - Country:US
Practice Address - Phone:615-553-2268
Practice Address - Fax:615-553-4362
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-06
Last Update Date:2020-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty