Organization
BRISTOL CHIROPRACTIC AND WELLNESS CENTER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY REED BOOHER DC (OWNER)
(423) 968-2288
Entity
Organization
Contact information
Practice address
615 VOLUNTEER PKWY, BRISTOL, TN 37620-3640
(423) 968-2288
(423) 968-4841
Mailing address
615 VOLUNTEER PKWY, BRISTOL, TN 37620-3640
(423) 968-2288
(423) 968-4841
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC0000001489
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1053626507
NPI INDIVIDUAL
TN
05
—
1526255
—
TN
Enumeration date
03/18/2013
Last updated
03/18/2013
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