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NPI Code Detail

MEDICARE: MR. CHARLES JOHN STEETS JR. D.C.

MEDICARE:  MR. CHARLES JOHN STEETS JR. 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
1111N00000XChiropractor806TN
2111N00000XChiropractorDC0000000806TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
13040246OTHERTNBLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1881733129
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. CHARLES JOHN STEETS JR. D.C.
Provider Business Mailing Address
First Line : 3566 N HIGHLAND AVE STE A
Second Line :
City : JACKSON
State : TN
Zip : 38305-7890
Country : US
Telephone Number : 731-664-8000
Fax Number : 731-664-8100
Provider Business Practice Location Address
First Line : 3566 N HIGHLAND AVE.
Second Line : SUITE A
City : JACKSON
State : TN
Zip : 38305
Country : US
Telephone Number : 731-664-8000
Fax Number : 731-664-8100
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/05/2007
Last Update Date : 06/05/2026

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Directions to “ MR. CHARLES JOHN STEETS JR. D.C.” Practice Location

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