Provider Demographics
NPI:1831951813
Name:EARICK, ROBERT DEAN
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:DEAN
Last Name:EARICK
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:320 BREWER DR
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37211-6156
Mailing Address - Country:US
Mailing Address - Phone:678-848-8472
Mailing Address - Fax:
Practice Address - Street 1:3053 MEDICAL CENTER PKWY STE B
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37129-4186
Practice Address - Country:US
Practice Address - Phone:615-396-8197
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-25
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3807111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor