Dr. Preston S. Douglas, Dc
LBN: Elevate Sport And Spine, Llc
Dr. Preston S. Douglas, Dc is an health care organization with primary practice located at 101 Professional Park Pvt Dr , Kingsport TN 37663-2288. The organization recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer. Chiropractic Providers / Chiropractor is the primary health care specialty.
Elevate Sport And Spine, Llc can be contacted via phone (423) 239-9122, or through Douglas, Preston S via phone (423) 239-9122.
Contact Information
Primary practice address
101 Professional Park Pvt Dr
Kingsport TN 37663-2288
Phone: (423) 239-9122
Fax: (423) 239-7991
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | ||
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X |
Profile Details
| NPI number | 1932865409 |
|---|---|
| LBN Legal business name | Elevate Sport And Spine, Llc |
| DBA Doing business as | Dr. Preston S. Douglas, Dc |
| Authorized official | Douglas, Preston S DC, CCSP, ATC |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 9th, 2021 |
| Last updated | Jun 5th, 2024 - about 2 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 | 1932865409 | NPPES |
| Tennessee | MEDICAID | Q070613 |
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