Provider Demographics
NPI:1447326723
Name:HEALTHWAY, INC
Entity type:Organization
Organization Name:HEALTHWAY, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:A
Authorized Official - Last Name:HENNIE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:865-679-2225
Mailing Address - Street 1:PO BOX 10365
Mailing Address - Street 2:5111 HOMBERG DRIVE
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37939-0365
Mailing Address - Country:US
Mailing Address - Phone:865-679-2225
Mailing Address - Fax:865-588-8799
Practice Address - Street 1:5111 HOMBERG DR
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37919-5150
Practice Address - Country:US
Practice Address - Phone:865-679-2225
Practice Address - Fax:865-588-8799
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1884111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4086999OtherBLUECROSS BLUESHIELD