Provider Demographics
NPI:1952556862
Name:CHIROPRACTIC HEALTH CENTER OF HOHENWALD, INC
Entity Type:Organization
Organization Name:CHIROPRACTIC HEALTH CENTER OF HOHENWALD, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:H
Authorized Official - Last Name:TWIST
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:931-796-1398
Mailing Address - Street 1:PO BOX 280
Mailing Address - Street 2:
Mailing Address - City:HOHENWALD
Mailing Address - State:TN
Mailing Address - Zip Code:38462-0280
Mailing Address - Country:US
Mailing Address - Phone:931-796-1398
Mailing Address - Fax:
Practice Address - Street 1:15 N WALNUT ST
Practice Address - Street 2:
Practice Address - City:HOHENWALD
Practice Address - State:TN
Practice Address - Zip Code:38462-1304
Practice Address - Country:US
Practice Address - Phone:931-796-1398
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-19
Last Update Date:2008-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDC2035261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3973439Medicare PIN
TNV04635Medicare UPIN