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John Redus, DC
Chiropractor in Jacksboro, Tennessee
NPI 1497753982

John Redus is a Chiropractor based in Jacksboro, TN. John Redus practices in Jacksboro, TN and has the professional credentials of DC. The NPI Number for John Redus is 1497753982 and holds a License No. DC000740 (Tennessee).

The current practice location address for John Redus is 302 Main St, Jacksboro, TN and can be reached out via phone at 423-566-4215 and via fax at 423-566-5155.

Location: 302 Main St, Jacksboro, TN, 37757-2935
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497753982
Provider Name
John Redus
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
302 Main St, Jacksboro, TN, 37757-2935
Phone Number
423-566-4215
Fax Number
423-566-5155
Provider Enumeration Date
07/08/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4026838 01 TN BLUE CROSS/TENNESSEE
621871597 00 01 TN CRA MANAGED CARE
100026514 01 TN PHP TENNCARE
350054860 01 TN RR MEDICARE
166746400 01 TN OHIO WORKER COMP
621871597 01 TN FEDERAL EMPLOYER ID NUMBE
12786 01 TN CARITEN PREFERRED
3675808 05 TN
institution
Provider Business Practice Location Address Details
Address
302 Main St
City
Jacksboro
State
Tennessee
Zip
37757-2935
Phone Number
423-566-4215
Fax Number
423-566-5155
person
Provider Business Mailing Address Details
Address
302 Main St
City
Jacksboro
State
Tennessee
Zip
37757-2935
Phone Number
423-566-4215
Fax Number
423-566-5155
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
DC000740 (Tennessee)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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