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NPI Code Detail

MEDICARE: DR. WALLACE STEVEN AUNGST D.C.

MEDICARE: DR. WALLACE STEVEN AUNGST D.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractorDC0000001497TN

General Provider Information

NPI Number : 1053325134
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WALLACE STEVEN AUNGST D.C.
Provider Business Mailing Address
First Line : 2149 W EMORY RD
Second Line :
City : POWELL
State : TN
Zip : 37849-3704
Country : US
Telephone Number : 865-938-6560
Fax Number :
Provider Business Practice Location Address
First Line : 2149 W EMORY RD
Second Line :
City : POWELL
State : TN
Zip : 37849-3704
Country : US
Telephone Number : 865-938-6560
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2006
Last Update Date : 04/07/2008

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Directions to “ DR. WALLACE STEVEN AUNGST D.C.” Practice Location

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