Provider Demographics
NPI:1063768323
Name:ELSON, JONATHAN (DC)
Entity type:Individual
Prefix:DR
First Name:JONATHAN
Middle Name:
Last Name:ELSON
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9927 SAM DONALD CT
Mailing Address - Street 2:SUITE D
Mailing Address - City:NOLENSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37135-9413
Mailing Address - Country:US
Mailing Address - Phone:615-776-7246
Mailing Address - Fax:615-283-4773
Practice Address - Street 1:9927 SAM DONALD CT
Practice Address - Street 2:SUITE D
Practice Address - City:NOLENSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37135-9413
Practice Address - Country:US
Practice Address - Phone:615-776-7246
Practice Address - Fax:615-283-4773
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-24
Last Update Date:2015-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2581111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation