Gruenenfelder, Robert Jay

Gruenenfelder, Robert Jay is an sole proprietor health care provider with primary practice located at 711 Highway 68 , Sweetwater TN 37874-1926. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Gruenenfelder, Robert Jay can be contacted via phone (423) 337-3761.

Contact Information

Primary practice address
711 Highway 68 Sweetwater TN 37874-1926
Phone: (423) 337-3761
Fax: (423) 337-9705
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X DC000619 Tennessee

Profile Details

NPI number 1639177330
LBN Legal business name Gruenenfelder, Robert Jay
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 7th, 2005
Last updated Apr 25th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639177330 NPPES
Tennessee Other 11366966 CAQH ID
Tennessee Other 4067808 CAQH ID
Tennessee Other P00056709 CAQH ID
Tennessee MEDICAID 3674946 CAQH ID

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