Healthsource Of Cleveland Pllc

NPI 1073858239 - Chiropractor - 111N00000X

NPI Details
NPI 1073858239
Enumeration Date 11/29/2012
Last Updated 11/29/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name JACOB J JACOB
Position OWNER
Phone (423) 710-2443
Fax (423) 475-6407
Practice Location
4645 N LEE HWY
CLEVELAND TN, 37312-4042, US
Phone (423) 710-2443
Fax (423) 475-6407
Business Location
4645 N LEE HWY
CLEVELAND TN, 37312-4042, US
Phone (423) 710-2443
Fax (423) 475-6407
Toxanomy
Taxonomy Code 111N00000X
License State Tennessee
License Number 2339
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According to our database, Healthsource Of Cleveland Pllc NPI is 1073858239, taxonomy code is 111N00000X and license number is 2339, license state is located at Tennessee. Healthsource Of Cleveland Pllc physically located at 4645 N Lee Hwy, Cleveland TN, 37312-4042. NPI Number 1033115704 has the healthcare provider type.

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1073858239 NPI number is provided on an as is basis without warranty of any kind. 1073858239 is maintained by the National Plan & Provider Enumeration System. The contents of Healthsource Of Cleveland Pllc are for informational purposes only.