Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111N00000X | Chiropractor | 778 | TN |
Y | 111NN0400X | Neurology | 778 | TN |
NPI | 1760539134 |
---|---|
Provider Name | Dr. Tomas E. Stangel |
First Address | Chattanooga, Tn, TN 37421-9994 |
Second Address | Chattanooga, TN 37421-9994 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/01/2007 |
Last Update Date | 10/10/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U35202 | (02) |