Individual
JOHN REDUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
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
111N00000X
Chiropractor
Primary
DC000740
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100026514
PHP TENNCARE
TN
01
—
12786
CARITEN PREFERRED
TN
01
—
166746400
OHIO WORKER COMP
TN
01
—
350054860
RR MEDICARE
TN
05
—
3675808
—
TN
01
—
4026838
BLUE CROSS/TENNESSEE
TN
01
—
621871597
FEDERAL EMPLOYER ID NUMBE
TN
01
—
621871597 00
CRA MANAGED CARE
TN
Enumeration date
07/08/2005
Last updated
06/12/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us