Provider Demographics
NPI:1992118814
Name:MUSE FAMILY CHIROPRACTIC LLC
Entity type:Organization
Organization Name:MUSE FAMILY CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:ALLAN
Authorized Official - Last Name:MUSE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:423-367-3050
Mailing Address - Street 1:1732 N EASTMAN RD
Mailing Address - Street 2:SUITE 3A
Mailing Address - City:KINGSPORT
Mailing Address - State:TN
Mailing Address - Zip Code:37664-2376
Mailing Address - Country:US
Mailing Address - Phone:423-247-5000
Mailing Address - Fax:423-247-2473
Practice Address - Street 1:1732 N EASTMAN RD
Practice Address - Street 2:SUITE 3A
Practice Address - City:KINGSPORT
Practice Address - State:TN
Practice Address - Zip Code:37664-2376
Practice Address - Country:US
Practice Address - Phone:423-247-5000
Practice Address - Fax:423-247-2473
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-09
Last Update Date:2014-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2765111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty