Healthcare Provider Details

I. General information

NPI: 1811023740
Provider Name (Legal Business Name): RELIEF DOC SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/26/2007
Last Update Date: 01/09/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7804 E BRAINERD RD STE F
CHATTANOOGA TN
37421-3254
US

IV. Provider business mailing address

7804 E BRAINERD RD STE F
CHATTANOOGA TN
37421-3254
US

V. Phone/Fax

Practice location:
  • Phone: 423-893-6602
  • Fax: 423-485-9550
Mailing address:
  • Phone: 423-893-6602
  • Fax: 423-485-9550

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: DR. JACK L NICKLE
Title or Position: CEO
Credential: DC
Phone: 423-893-6602