Deroos Family & Pediatric Health Center Pc
LBN: Deroos Family & Pediatric Health Center Pc
Deroos Family & Pediatric Health Center Pc is an health care organization with primary practice located at 340 Sunset Dr Nw , Cleveland TN 37312-5349. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty.
Deroos Family & Pediatric Health Center Pc can be contacted via phone (423) 614-5654, or through Deroos, Timothy David via phone (423) 614-5654.
Contact Information
Primary practice address
340 Sunset Dr Nw
Cleveland TN 37312-5349
Phone: (423) 614-5654
Fax: (423) 614-5645
Website:
Authorized official contact:
Name: Deroos, Timothy David Doctor of Chiropractic (DC)
Phone: (423) 614-5654
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | DC1294 | Tennessee |
Profile Details
| NPI number | 1770613465 |
|---|---|
| LBN Legal business name | Deroos Family & Pediatric Health Center Pc |
| DBA Doing business as | |
| Authorized official | Deroos, Timothy David Doctor of Chiropractic (DC) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 6th, 2007 |
| Last updated | Aug 22nd, 2020 - about 6 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770613465 | NPPES |
| Tennessee | Other | 3043835 | BCBS PROVIDER ID NUMBER |
| Tennessee | MEDICAID | 3730366 | BCBS PROVIDER ID NUMBER |
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