Healthcare Provider Details

I. General information

NPI: 1780501361
Provider Name (Legal Business Name): MADISON HASCHEMEYER DC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/02/2026
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1007 ASHLAND TER
CHATTANOOGA TN
37415-3585
US

IV. Provider business mailing address

1098 W STATE LINE RD
ROSSVILLE GA
30741-3276
US

V. Phone/Fax

Practice location:
  • Phone: 423-810-8115
  • Fax:
Mailing address:
  • Phone: 217-801-0894
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License Number4980
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: