Provider Demographics
NPI:1932146909
Name:BEEL, RORY (DC)
Entity Type:Individual
Prefix:MR
First Name:RORY
Middle Name:
Last Name:BEEL
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 1:311 EAST ENON SPRINGS ROAD
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:TN
Mailing Address - Zip Code:37167
Mailing Address - Country:US
Mailing Address - Phone:615-355-6186
Mailing Address - Fax:615-355-6148
Practice Address - Street 1:311 EAST ENON SPRINGS ROAD
Practice Address - Street 2:
Practice Address - City:SMYRNA
Practice Address - State:TN
Practice Address - Zip Code:37167
Practice Address - Country:US
Practice Address - Phone:615-355-6186
Practice Address - Fax:615-355-6148
Is Sole Proprietor?:No
Enumeration Date:2006-05-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDC649111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
3150260OtherBC/BS TN
TN4555070OtherAETNA INS
TN4555070OtherAETNA INS
TN3675072TNMedicare ID - Type Unspecified