Provider Demographics
NPI:1689150757
Name:LOOKOUT CHIROPRACTIC, PLLC
Entity type:Organization
Organization Name:LOOKOUT CHIROPRACTIC, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:L
Authorized Official - Last Name:FINCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:423-825-5252
Mailing Address - Street 1:3536 CUMMINGS HWY STE 120
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37419-2436
Mailing Address - Country:US
Mailing Address - Phone:423-825-5252
Mailing Address - Fax:423-825-1228
Practice Address - Street 1:3536 CUMMINGS HWY STE 120
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37419-2436
Practice Address - Country:US
Practice Address - Phone:423-825-5252
Practice Address - Fax:423-825-1228
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-12
Last Update Date:2018-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNDC0000001846OtherCHIROPRACTIC LICENSE