MEDICARE: JOSHUA CHASE FISH 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	3074	TN

General Provider Information

NPI Number	:	1609381110
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSHUA CHASE FISH DC

Provider Business Mailing Address
First Line	:	9905 MUNCEY DR
Second Line	:
City	:	MILLINGTON
State	:	TN
Zip	:	38053
Country	:	US
Telephone Number	:	901-484-9812
Fax Number	:	901-755-9605

Provider Business Practice Location Address
First Line	:	8950 US HIGHWAY 64 STE 104
Second Line	:
City	:	LAKELAND
State	:	TN
Zip	:	38002-4566
Country	:	US
Telephone Number	:	901-388-0737
Fax Number	:	901-388-0736

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

Provider Enumeration Date	:	12/06/2017
Last Update Date	:	03/17/2018

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Directions to “ JOSHUA CHASE FISH DC” Practice Location

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