Individual
DR. VICTOR POLETAJEV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
5107 BRYSON TRL, MURFREESBORO, TN 37129-3063
(615) 867-7522
(615) 867-3288
Mailing address
5107 BRYSON TRL, MURFREESBORO, TN 37129-3063
(615) 867-7522
(615) 867-3288
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
1878
AL
111N00000X
Chiropractor
528
WV
111N00000X
Chiropractor
Primary
DC-001053
TN
111N00000X
Chiropractor
DC-003771-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3093995
BLUE CROSS BLUE SHIELD
TN
01
—
4482273
AETNA
TN
Enumeration date
11/08/2005
Last updated
05/05/2023
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