Individual
DR. PHILIP EDWARD NIELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
4010 FOUNTAIN VALLEY DR, SUITE 3, KNOXVILLE, TN 37918
(865) 922-5555
(865) 922-5554
Mailing address
4010 FOUNTAIN VALLEY DR, SUITE 3, KNOXVILLE, TN 37918-5336
(865) 922-5555
(865) 922-5554
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
636
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2006622
BCBS
—
01
—
4440011
UHC
—
Enumeration date
09/14/2006
Last updated
04/18/2024
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