Kellenberger, David
Kellenberger, David is an sole proprietor health care provider with primary practice located at 3169 Professional Plz , Germantown TN 38138-7917. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Kellenberger, David can be contacted via phone (901) 861-1212.Contact Information
Primary practice address
3169 Professional Plz
Germantown TN 38138-7917
Phone: (901) 861-1212
Fax: (901) 618-1283
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 1490 | Tennessee |
Profile Details
| NPI number | 1528105574 |
|---|---|
| LBN Legal business name | Kellenberger, David |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 31st, 2007 |
| Last updated | May 30th, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528105574 | NPPES |
| Tennessee | Other | 11-3803810 | TAX IDENTIFICATION |
| Tennessee | Other | 4165737 | TAX IDENTIFICATION |
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