Provider Demographics
NPI:1124446174
Name:CHINN, BRIAN (DC)
Entity type:Individual
Prefix:
First Name:BRIAN
Middle Name:
Last Name:CHINN
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 1:6011 CHESTERTON WAY STE 209
Mailing Address - Street 2:
Mailing Address - City:OOLTEWAH
Mailing Address - State:TN
Mailing Address - Zip Code:37363-1523
Mailing Address - Country:US
Mailing Address - Phone:423-355-5100
Mailing Address - Fax:423-355-5101
Practice Address - Street 1:6011 CHESTERTON WAY STE 209
Practice Address - Street 2:
Practice Address - City:OOLTEWAH
Practice Address - State:TN
Practice Address - Zip Code:37363-1523
Practice Address - Country:US
Practice Address - Phone:423-355-5100
Practice Address - Fax:423-355-5101
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-06
Last Update Date:2020-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2761111N00000X
IDCHIA-1995111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor