Healthcare Provider Details

I. General information

NPI: 1710104989
Provider Name (Legal Business Name): JIM SWEENEY D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/19/2007
Last Update Date: 04/14/2021
Certification Date: 04/14/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 THOMPSON LN 103
NASHVILLE TN
37211-2436
US

IV. Provider business mailing address

201 THOMPSON LN 103
NASHVILLE TN
37211-2436
US

V. Phone/Fax

Practice location:
  • Phone: 615-331-7040
  • Fax: 615-331-2692
Mailing address:
  • Phone: 615-331-7040
  • Fax: 615-331-2692

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111NX0800X
TaxonomyOrthopedic Chiropractor
License Number2182
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License Number2182
License Number StateTN
# 3
Primary TaxonomyN
Taxonomy Code111NX0100X
TaxonomyOccupational Health Chiropractor
License Number2182
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: