MEDICARE: LELAND W WEAR 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	2678	TN

General Provider Information

NPI Number	:	1760810246
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LELAND W WEAR DC

Provider Business Mailing Address
First Line	:	755 BROAD ST NW
Second Line	:	SUITE C
City	:	CLEVELAND
State	:	TN
Zip	:	37311
Country	:	US
Telephone Number	:	423-473-3680
Fax Number	:	423-716-6873

Provider Business Practice Location Address
First Line	:	755 BROAD ST NW STE C
Second Line	:
City	:	CLEVELAND
State	:	TN
Zip	:	37311-2248
Country	:	US
Telephone Number	:	723-473-3680
Fax Number	:	423-716-6870

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

Provider Enumeration Date	:	10/22/2013
Last Update Date	:	06/16/2018

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Directions to “ LELAND W WEAR DC” Practice Location

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