Provider Demographics
NPI:1104118827
Name:HAUN CHIROPRACTIC
Entity type:Organization
Organization Name:HAUN CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JANIE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:HAUN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:423-765-9911
Mailing Address - Street 1:2105 E CENTER ST
Mailing Address - Street 2:SUITE C
Mailing Address - City:KINGSPORT
Mailing Address - State:TN
Mailing Address - Zip Code:37664-2663
Mailing Address - Country:US
Mailing Address - Phone:423-765-9911
Mailing Address - Fax:423-765-9912
Practice Address - Street 1:2105 E CENTER ST
Practice Address - Street 2:SUITE C
Practice Address - City:KINGSPORT
Practice Address - State:TN
Practice Address - Zip Code:37664-2663
Practice Address - Country:US
Practice Address - Phone:423-765-9911
Practice Address - Fax:423-765-9912
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-13
Last Update Date:2021-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2278111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty