Provider Demographics
NPI:1912411703
Name:BEILKE, CAMERON B (DC)
Entity Type:Individual
Prefix:
First Name:CAMERON
Middle Name:B
Last Name:BEILKE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 GLEN ECHO RD
Mailing Address - Street 2:STE 120
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37215-2876
Mailing Address - Country:US
Mailing Address - Phone:615-383-0244
Mailing Address - Fax:615-386-3752
Practice Address - Street 1:2000 GLEN ECHO RD
Practice Address - Street 2:STE 120
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37215-2876
Practice Address - Country:US
Practice Address - Phone:615-383-0244
Practice Address - Fax:615-386-3752
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-01
Last Update Date:2018-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3133111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty