Provider Demographics
NPI:1891390340
Name:AIELLO FAMILY CHIROPRACTIC
Entity type:Organization
Organization Name:AIELLO FAMILY CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:EUGENE
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:AIELLO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:615-945-6416
Mailing Address - Street 1:7127 CROSSROADS BLVD STE 102
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-2827
Mailing Address - Country:US
Mailing Address - Phone:615-945-6416
Mailing Address - Fax:
Practice Address - Street 1:7127 CROSSROADS BLVD STE 102
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-2827
Practice Address - Country:US
Practice Address - Phone:615-945-6416
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-02
Last Update Date:2021-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty