Organization
DERR CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LORA KAY DERR DC (OWNER)
(423) 479-9487
Entity
Organization
Contact information
Practice address
463 1ST ST NW, CLEVELAND, TN 37311-1760
(423) 479-9487
(423) 472-8570
Mailing address
463 1ST ST NW, CLEVELAND, TN 37311-1760
(423) 479-9487
(423) 472-8570
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
DC0000000329
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0021996
BLUE CROSS BLUE SHIELD OF TN
TN
01
—
3672790
MEDICARE
TN
01
—
616331
UNITED HEALTH CARE
TN
01
—
T74539
UPIN
TN
Enumeration date
06/17/2016
Last updated
06/17/2016
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