Keller, Jason Todd

Keller, Jason Todd is an sole proprietor health care provider with primary practice located at 1003 E Reelfoot Ave Ste 1, Union City TN 38261. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Keller, Jason Todd can be contacted via phone (731) 885-7700.

Contact Information

Primary practice address
1003 E Reelfoot Ave Ste 1 Union City TN 38261
Fax: (731) 885-7704
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X DC0000001516 Tennessee

Profile Details

NPI number 1992707053
LBN Legal business name Keller, Jason Todd
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 2nd, 2005
Last updated Apr 27th, 2010 - about 16 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 1992707053 NPPES
Tennessee Other 3067070 CIGNA HEALTHCARE
Tennessee Other 3120562 CIGNA HEALTHCARE

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