Fillmore, Brian J.

Fillmore, Brian J. is an sole proprietor health care provider with primary practice located at 1260 Gallaher Rd Ste A-C , Kingston TN 37763-4139. He recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Nutrition, Chiropractic Providers / Chiropractor. Chiropractic Providers / Chiropractor is his primary health care specialty. Fillmore, Brian J. can be contacted via phone (865) 248-8167.

Contact Information

Primary practice address
1260 Gallaher Rd Ste A-C Kingston TN 37763-4139
Phone: (865) 248-8167
Fax: (865) 248-8125
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Nutrition 111NN1001X 3009 Ohio
Chiropractic Providers / Chiropractor 111N00000X 1440 Tennessee

Profile Details

NPI number 1699838037
LBN Legal business name Fillmore, Brian J.
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 18th, 2006
Last updated Sep 7th, 2023 - about last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699838037 NPPES
Ohio Other 5233596 AETNA
Ohio Other 663526 AETNA
Ohio MEDICAID Q085835 AETNA
Ohio Other 000000393235 AETNA

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