Organization
REDUS CHIROPRACTIC CARE, INC.
Active
Organization
REDUS CHIROPRACTIC CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN CLEVELAND REDUS JR. D.C. (PRESIDENT/CHIROPRACTOR)
(423) 566-4215
Entity
Organization
Contact information
Practice address
302 MAIN ST, JACKSBORO, TN 37757-2935
(423) 566-4215
(423) 566-5155
Mailing address
302 MAIN ST, JACKSBORO, TN 37757-2935
(423) 566-4215
(423) 566-5155
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
DC 740
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12786
CARITEN PREFERRED
TN
05
—
3675808
—
TN
01
—
4026838
BLUE CROSS/TENNESSEE
TN
Enumeration date
02/21/2008
Last updated
02/24/2016
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