MEDICARE: ANTHONY KROHN DC

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	3287	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	3278	OTHER	TN	STATE LICENSE

General Provider Information

NPI Number	:	1780206300
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANTHONY KROHN DC

Provider Business Mailing Address
First Line	:	5242 MAIN ST
Second Line	:
City	:	SPRING HILL
State	:	TN
Zip	:	37174-2443
Country	:	US
Telephone Number	:	615-302-4747
Fax Number	:	615-302-4748

Provider Business Practice Location Address
First Line	:	5242 MAIN ST
Second Line	:
City	:	SPRING HILL
State	:	TN
Zip	:	37174-2443
Country	:	US
Telephone Number	:	615-302-4747
Fax Number	:	615-302-4748

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

Provider Enumeration Date	:	05/18/2020
Last Update Date	:	05/18/2020

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Directions to “ ANTHONY KROHN DC” Practice Location

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