Provider Demographics
NPI:1316070923
Name:SNEAD, JEFFREY GLENN SR (DC)
Entity type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:GLENN
Last Name:SNEAD
Suffix:SR
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 1:393 E MAIN ST
Mailing Address - Street 2:SUITE L
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37075-2574
Mailing Address - Country:US
Mailing Address - Phone:615-338-0894
Mailing Address - Fax:615-822-7723
Practice Address - Street 1:393 E MAIN ST
Practice Address - Street 2:SUITE L
Practice Address - City:HENDERSONVILLE
Practice Address - State:TN
Practice Address - Zip Code:37075-2574
Practice Address - Country:US
Practice Address - Phone:615-338-0894
Practice Address - Fax:615-822-7723
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1525111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3155544OtherBLUE CROSS NUMBER
TN3971541Medicare ID - Type Unspecified
TN3155544OtherBLUE CROSS NUMBER