Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0400X | Rehabilitation Chiropractor | 2581 | TN |
NPI | 1063768323 |
---|---|
Provider Name | Dr. Jonathan Elson |
First Address | Nolensville, TN 37135-9413 |
Second Address | Nolensville, TN 37135-9413 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/07/2012 |
Last Update Date | 06/01/2015 |