MEDICARE: ERNEST KENDALL FAUST 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
1	111N00000X	Chiropractor	184	TN

General Provider Information

NPI Number	:	1427278654
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERNEST KENDALL FAUST DC

Provider Business Mailing Address
First Line	:	1912 COLUMBIA AVE
Second Line	:	SUITE A
City	:	FRANKLIN
State	:	TN
Zip	:	37064-3950
Country	:	US
Telephone Number	:	615-794-1075
Fax Number	:

Provider Business Practice Location Address
First Line	:	1912 COLUMBIA AVE
Second Line	:	SUITE A
City	:	FRANKLIN
State	:	TN
Zip	:	37064-3950
Country	:	US
Telephone Number	:	615-794-1075
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/30/2007
Last Update Date	:	07/08/2007

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