Individual
DR. RYAN WAYNE HOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1633 W MAIN ST, #401, LEBANON, TN 37087-3423
(615) 444-2234
(615) 547-4849
Mailing address
1633 W MAIN ST, #401, LEBANON, TN 37087-3423
(615) 444-2234
(615) 547-4849
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2103
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3734252
MEDICARE PTAN
TN
Enumeration date
06/01/2006
Last updated
03/15/2016
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