MEDICARE: DR. DOUGLAS JAY STOGNER 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
1	111N00000X	Chiropractor	DC1192	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1497886386
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DOUGLAS JAY STOGNER D.C.

Provider Business Mailing Address
First Line	:	589 STEWARTS FERRY PIKE
Second Line	:	SUITE A
City	:	NASHVILLE
State	:	TN
Zip	:	37214-3414
Country	:	US
Telephone Number	:	615-872-0777
Fax Number	:	615-872-0768

Provider Business Practice Location Address
First Line	:	589 STEWARTS FERRY PIKE
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37214-3414
Country	:	US
Telephone Number	:	615-872-0777
Fax Number	:	615-872-0768

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

Provider Enumeration Date	:	03/09/2007
Last Update Date	:	01/14/2009

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