| The Steets Corporation | |
|
3566 N Highland Ave Suite A Jackson TN 38305-7890 | |
| (731) 664-8000 | |
| (731) 664-8100 |
| Full Name | The Steets Corporation |
|---|---|
| Speciality | Clinic/Center |
| Location | 3566 N Highland Ave, Jackson, Tennessee |
| Authorized Official Name and Position | Charles Steets (PRESIDENT/ CEO) |
| Authorized Official Contact | 7316648000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Steets Corporation 3566 N Highland Ave Suite A Jackson TN 38305-7890 Ph: (731) 664-8000 | The Steets Corporation 3566 N Highland Ave Suite A Jackson TN 38305-7890 Ph: (731) 664-8000 |
| NPI Number | 1164652962 |
|---|---|
| Provider Enumeration Date | 07/15/2009 |
| Last Update Date | 07/15/2009 |
| Medicare PECOS PAC ID | 2567514896 |
|---|---|
| Medicare Enrollment ID | O20090717000464 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164652962 | NPI | - | NPPES |
| 1881733129 | Other | TN | NPI # |
| 3676282 | Other | TN | PTIN # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | 806 (Tennessee) | Primary |
| Provider Name | Charles J Steets |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1881733129 PECOS PAC ID: 6204988538 Enrollment ID: I20090717000448 |
| Provider Name | Jake H Doster |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1962754325 PECOS PAC ID: 0648416388 Enrollment ID: I20130424000852 |
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