Provider Demographics
NPI:1447652128
Name:NORTH RIVER CHIROPRACTIC
Entity type:Organization
Organization Name:NORTH RIVER CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:
Authorized Official - Last Name:REINHART
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:423-875-8222
Mailing Address - Street 1:4810 HIXSON PIKE STE D
Mailing Address - Street 2:
Mailing Address - City:HIXSON
Mailing Address - State:TN
Mailing Address - Zip Code:37343-4475
Mailing Address - Country:US
Mailing Address - Phone:423-875-8222
Mailing Address - Fax:423-875-8222
Practice Address - Street 1:4810 HIXSON PIKE
Practice Address - Street 2:STE D
Practice Address - City:HIXSON
Practice Address - State:TN
Practice Address - Zip Code:37343-4475
Practice Address - Country:US
Practice Address - Phone:423-875-8222
Practice Address - Fax:423-875-8222
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NORTH RIVER CHIROPRACTIC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-09-24
Last Update Date:2014-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN747111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3675678OtherMEDICARE PTAN
TN0114477OtherBCBS #