Kjos, Neil Jordan
Kjos, Neil Jordan is an sole proprietor health care provider with primary practice located at 3536 Cummings Hwy Ste. 120, Chattanooga TN 37419-2435. He recently has only one registered license in Chiropractic Providers / Nutrition, which is considered as his primary health care specialty. Kjos, Neil Jordan can be contacted via phone (423) 825-5252.Contact Information
Primary practice address
3536 Cummings Hwy Ste. 120
Chattanooga TN 37419-2435
Phone: (423) 825-5252
Fax: (423) 825-1228
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Nutrition | 111NN1001X | 1430 | Tennessee |
Profile Details
| NPI number | 1871580464 |
|---|---|
| LBN Legal business name | Kjos, Neil Jordan |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 29th, 2005 |
| Last updated | Nov 30th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871580464 | NPPES |
| Tennessee | Other | 5011638 | AETNA PIN |
| Tennessee | Other | 621713923 | AETNA PIN |
| Tennessee | Other | 350052346 | AETNA PIN |
| Tennessee | Other | 3069538 | AETNA PIN |
| Tennessee | MEDICAID | 000933226A | AETNA PIN |
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