Provider Demographics
NPI:1972133239
Name:BERRY HILL CHIROPRACTIC AND WELLNESS LLC
Entity type:Organization
Organization Name:BERRY HILL CHIROPRACTIC AND WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JENSON
Authorized Official - Middle Name:
Authorized Official - Last Name:GILLETTE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:615-208-5030
Mailing Address - Street 1:2805 AZALEA PL
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37204-3117
Mailing Address - Country:US
Mailing Address - Phone:615-208-5030
Mailing Address - Fax:615-739-6265
Practice Address - Street 1:2805 AZALEA PL
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37204-3117
Practice Address - Country:US
Practice Address - Phone:615-208-5030
Practice Address - Fax:615-739-6265
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-24
Last Update Date:2020-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty