Organization
AMODEO CHIROPRACTIC CENTER PA
Active
Parent organization
AMODEO CHIROPRACTIC CENTER, PA
Other names
Amodeo Chiropractic Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
AMODEO CHIROPRACTIC CENTER, PA
Authorized official
MR. STEVEN R AMODEO DC (PRESIDENT)
(901) 853-8270
Entity
Organization
Contact information
Practice address
777 W POPLAR AVE, SUITE 104, COLLIERVILLE, TN 38017-2592
(901) 853-8270
(901) 854-5193
Mailing address
PO BOX 726, COLLIERVILLE, TN 38027-0726
(901) 853-8270
(901) 854-5193
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
DC173
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6688660001
MEDICARE PTAN
TN
Enumeration date
08/22/2011
Last updated
07/16/2012
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