MEDICARE: NOAH EMANUEL 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	6547	MN
2	111N00000X	Chiropractor	3228	TN

General Provider Information

NPI Number	:	1801359187
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NOAH EMANUEL DC

Provider Business Mailing Address
First Line	:	3053 MEDICAL CENTER PKWY STE B
Second Line	:
City	:	MURFREESBORO
State	:	TN
Zip	:	37129-4186
Country	:	US
Telephone Number	:	615-396-8197
Fax Number	:

Provider Business Practice Location Address
First Line	:	3053 MEDICAL CENTER PKWY STE B
Second Line	:
City	:	MURFREESBORO
State	:	TN
Zip	:	37129
Country	:	US
Telephone Number	:	615-396-8197
Fax Number	:

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

Provider Enumeration Date	:	04/12/2019
Last Update Date	:	09/09/2019

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Directions to “ NOAH EMANUEL DC” Practice Location

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