MEDICARE: DR. JEFFREY DAVID HARTWELL D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	3820	OR
2	111N00000X	Chiropractor	3820	TN

General Provider Information

NPI Number	:	1750369260
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JEFFREY DAVID HARTWELL D.C.

Provider Business Mailing Address
First Line	:	211 COLLINS ST
Second Line	:
City	:	CHURCH HILL
State	:	TN
Zip	:	37642-4016
Country	:	US
Telephone Number	:	423-226-3989
Fax Number	:	423-226-3639

Provider Business Practice Location Address
First Line	:	211 COLLINS ST
Second Line	:
City	:	CHURCH HILL
State	:	TN
Zip	:	37642-4016
Country	:	US
Telephone Number	:	423-226-3989
Fax Number	:	423-226-3639

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/04/2006
Last Update Date	:	04/29/2025

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