Healthcare Provider Details

I. General information

NPI: 1750369260
Provider Name (Legal Business Name): JEFFREY DAVID HARTWELL D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/04/2006
Last Update Date: 04/29/2025
Certification Date: 04/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

211 COLLINS ST
CHURCH HILL TN
37642-4016
US

IV. Provider business mailing address

211 COLLINS ST
CHURCH HILL TN
37642-4016
US

V. Phone/Fax

Practice location:
  • Phone: 423-226-3989
  • Fax: 423-226-3639
Mailing address:
  • Phone: 423-226-3989
  • Fax: 423-226-3639

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number3820
License Number StateOR
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number3820
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: