Healthcare Provider Details

I. General information

NPI: 1629219365
Provider Name (Legal Business Name): JOHN DAVID HASENBANK DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/10/2009
Last Update Date: 04/06/2025
Certification Date: 04/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 BURTON HILLS BLVD STE 400
NASHVILLE TN
37215-3004
US

IV. Provider business mailing address

100 POWELL PL # 1747
NASHVILLE TN
37204-3622
US

V. Phone/Fax

Practice location:
  • Phone: 615-600-4747
  • Fax:
Mailing address:
  • Phone: 615-600-4747
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License Number8781
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License Number2611
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: