Provider Demographics
NPI:1982888301
Name:SCOLES FAMILY CHIROPRACTIC, PLLC
Entity Type:Organization
Organization Name:SCOLES FAMILY CHIROPRACTIC, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:D
Authorized Official - Last Name:SCOLES
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:865-531-8025
Mailing Address - Street 1:7555 OAK RIDGE HWY
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37931-3342
Mailing Address - Country:US
Mailing Address - Phone:865-531-8025
Mailing Address - Fax:865-531-6480
Practice Address - Street 1:7555 OAK RIDGE HWY
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37931-3342
Practice Address - Country:US
Practice Address - Phone:865-531-8025
Practice Address - Fax:865-531-6480
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-20
Last Update Date:2009-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1864111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3723353Medicare PIN