Kjos, Neil Jordan

Kjos, Neil Jordan is an sole proprietor health care provider with primary practice located at 3536 Cummings Hwy Ste. 120, Chattanooga TN 37419-2435. He recently has only one registered license in Chiropractic Providers / Nutrition, which is considered as his primary health care specialty. Kjos, Neil Jordan can be contacted via phone (423) 825-5252.

Contact Information

Primary practice address
3536 Cummings Hwy Ste. 120 Chattanooga TN 37419-2435
Phone: (423) 825-5252
Fax: (423) 825-1228
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Nutrition 111NN1001X 1430 Tennessee

Profile Details

NPI number 1871580464
LBN Legal business name Kjos, Neil Jordan
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 29th, 2005
Last updated Nov 30th, 2010 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871580464 NPPES
Tennessee Other 5011638 AETNA PIN
Tennessee Other 621713923 AETNA PIN
Tennessee Other 350052346 AETNA PIN
Tennessee Other 3069538 AETNA PIN
Tennessee MEDICAID 000933226A AETNA PIN

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