Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 2470 | TN |
N | 111NR0400X | Rehabilitation Chiropractor | 2470 | TN |
N | 111NS0005X | Chiropractic Sports Physician | 2470 | TN |
NPI | 1295030559 |
---|---|
Provider Name | Dr. Patrick Roland Zitt |
First Address | Knoxville, TN 37921-1453 |
Second Address | Knoxville, TN 37919-5411 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/01/2011 |
Last Update Date | 18/03/2011 |