| Chiro2med Of Tennessee | |
|
750 E Spring St Suite D Cookeville TN 38501-4527 | |
| (931) 526-4084 | |
| (931) 526-6801 |
| Full Name | Chiro2med Of Tennessee |
|---|---|
| Speciality | Internal Medicine |
| Location | 750 E Spring St, Cookeville, Tennessee |
| Authorized Official Name and Position | Mitchell Shea (OWNER) |
| Authorized Official Contact | 9315264084 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chiro2med Of Tennessee 750 E Spring St Suite D Cookeville TN 38501-4527 Ph: (931) 526-4084 | Chiro2med Of Tennessee 750 E Spring St Suite D Cookeville TN 38501-4527 Ph: (931) 526-4084 |
| NPI Number | 1295107613 |
|---|---|
| Provider Enumeration Date | 10/25/2015 |
| Last Update Date | 08/25/2016 |
| Medicare PECOS PAC ID | 5890097638 |
|---|---|
| Medicare Enrollment ID | O20160111001209 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295107613 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Mitchell P Shea |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1083701510 PECOS PAC ID: 2769376110 Enrollment ID: I20080819000196 |
| Provider Name | Ruth Elaine Wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255523841 PECOS PAC ID: 9739487901 Enrollment ID: I20170307000761 |
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