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NPI Code Detail

MEDICARE: DR. ADAM MATTHEW DAHLBERG D.C.

MEDICARE:  DR. ADAM MATTHEW DAHLBERG  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
1111N00000XChiropractor0000003317TN
2111N00000XChiropractor0104557422VA

General Provider Information

NPI Number : 1053956599
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ADAM MATTHEW DAHLBERG D.C.
Provider Business Mailing Address
First Line : 9325 APISON PIKE STE 137
Second Line :
City : OOLTEWAH
State : TN
Zip : 37363-3805
Country : US
Telephone Number : 423-619-8005
Fax Number :
Provider Business Practice Location Address
First Line : 9325 APISON PIKE STE 137
Second Line :
City : OOLTEWAH
State : TN
Zip : 37363-3805
Country : US
Telephone Number : 423-619-8005
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/07/2019
Last Update Date : 10/26/2020

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Directions to “ DR. ADAM MATTHEW DAHLBERG D.C.” Practice Location

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