Healthcare Provider Details

I. General information

NPI: 1528331808
Provider Name (Legal Business Name): APPLE CHIROPRACTIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/16/2012
Last Update Date: 10/17/2023
Certification Date: 10/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7446 SHALLOWFORD RD SUITE 101
CHATTANOOGA TN
37421-8815
US

IV. Provider business mailing address

7446 SHALLOWFORD RD SUITE 101
CHATTANOOGA TN
37421-8815
US

V. Phone/Fax

Practice location:
  • Phone: 423-855-7376
  • Fax: 423-855-8455
Mailing address:
  • Phone: 423-855-7376
  • Fax: 423-855-8455

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. NICHOLAS J CIRCOLONE
Title or Position: OWNER
Credential: DC
Phone: 423-855-7376