Healthcare Provider Details
I. General information
NPI: 1518583731
Provider Name (Legal Business Name): DRB CONSULTING SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/23/2020
Last Update Date: 02/01/2021
Certification Date: 02/01/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
306 SUNSET DR STE 100
JOHNSON CITY TN
37604-2492
US
IV. Provider business mailing address
162 BRANDONWOOD DR
JOHNSON CITY TN
37604-2151
US
V. Phone/Fax
- Phone: 423-926-8304
- Fax:
- Phone: 608-630-3564
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
DAWN
R. B.
CHAPMAN
Title or Position: OWNER
Credential: DC
Phone: 608-630-3564