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NPI Code Detail

MEDICARE: DR. RUTH A NIELSON DC

MEDICARE: DR. RUTH A NIELSON DC
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
1111N00000XChiropractorCHIR002008GA
2111N00000XChiropractorDC0000002343TN

General Provider Information

NPI Number : 1184637803
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RUTH A NIELSON DC
Provider Business Mailing Address
First Line : 3712 RINGGOLD RD # 348
Second Line :
City : CHATTANOOGA
State : TN
Zip : 37412-1638
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1471 N MACK SMITH RD
Second Line :
City : EAST RIDGE
State : TN
Zip : 37412-3947
Country : US
Telephone Number : 423-485-8480
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/14/2006
Last Update Date : 03/31/2021

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Directions to “ DR. RUTH A NIELSON DC” Practice Location

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