Durham, Joel W
Durham, Joel W is an sole proprietor health care provider with primary practice located at 25 Corporate Blvd , Jackson TN 38305-2314. He recently has only one registered license in Chiropractic Providers / Sports Physician, which is considered as his primary health care specialty. Durham, Joel W can be contacted via phone (731) 664-2929.Contact Information
Primary practice address
25 Corporate Blvd
Jackson TN 38305-2314
Phone: (731) 664-2929
Fax: (731) 664-7555
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Sports Physician | 111NS0005X | DC-831 | Tennessee |
Profile Details
| NPI number | 1710949722 |
|---|---|
| LBN Legal business name | Durham, Joel W |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 5th, 2006 |
| Last updated | Aug 9th, 2013 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710949722 | NPPES |
| Tennessee | Other | 1719192 | CIGNA |
| Tennessee | Other | 3154438 | CIGNA |
| Tennessee | Other | 350050083 | CIGNA |
| Tennessee | Other | 00001997769-02 | CIGNA |
| Tennessee | Other | 5744028 | CIGNA |
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