Modglin, Randy D.
Modglin, Randy D. is an sole proprietor health care provider with primary practice located at 306 Sunset Dr Ste 100, Johnson City TN 37604-2492. He recently has 7 registered licenses in different health care specialties including Chiropractic Providers / Nutrition, Chiropractic Providers / Radiology, Chiropractic Providers / Chiropractor, Chiropractic Providers / Rehabilitation, Chiropractic Providers / Neurology, Chiropractic Providers / Orthopedic, Chiropractic Providers / Sports Physician. Chiropractic Providers / Chiropractor is his primary health care specialty. Modglin, Randy D. can be contacted via phone (423) 926-8304.Contact Information
Primary practice address
306 Sunset Dr Ste 100
Johnson City TN 37604-2492
Phone: (423) 926-8304
Fax: (423) 926-5976
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Nutrition | 111NN1001X | DC0000001352 | Tennessee |
| Chiropractic Providers / Radiology | 111NR0200X | DC0000001352 | Tennessee |
| Chiropractic Providers / Chiropractor | 111N00000X | 1352 | Tennessee |
| Chiropractic Providers / Rehabilitation | 111NR0400X | DC0000001352 | Tennessee |
| Chiropractic Providers / Neurology | 111NN0400X | DC0000001352 | Tennessee |
| Chiropractic Providers / Orthopedic | 111NX0800X | DC0000001352 | Tennessee |
| Chiropractic Providers / Sports Physician | 111NS0005X | DC0000001352T | Tennessee |
| Chiropractic Providers / Chiropractor | 111N00000X | DC0000001352 | Tennessee |
Profile Details
| NPI number | 1932258191 |
|---|---|
| LBN Legal business name | Modglin, Randy D. |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 9th, 2007 |
| Last updated | Aug 24th, 2020 - about 4 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 | 1932258191 | NPPES |
| Tennessee | Other | 3074458 | BLUE CROSS BLUE SHIELD |
| Tennessee | Other | 350052904 | BLUE CROSS BLUE SHIELD |
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