Provider Demographics
NPI:1609892314
Name:EUSEBIO, SLOANE DELUKE (DC)
Entity type:Individual
Prefix:DR
First Name:SLOANE
Middle Name:DELUKE
Last Name:EUSEBIO
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 HAZELNUT DR
Mailing Address - Street 2:
Mailing Address - City:JONESBOROUGH
Mailing Address - State:TN
Mailing Address - Zip Code:37659-6196
Mailing Address - Country:US
Mailing Address - Phone:518-796-3232
Mailing Address - Fax:423-396-1171
Practice Address - Street 1:806 E JACKSON BLVD STE 9
Practice Address - Street 2:
Practice Address - City:JONESBOROUGH
Practice Address - State:TN
Practice Address - Zip Code:37659-1547
Practice Address - Country:US
Practice Address - Phone:423-289-0819
Practice Address - Fax:423-396-1171
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-14
Last Update Date:2025-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX009556-1111NN1001X
TN3550111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
No111NN1001XChiropractic ProvidersChiropractorNutrition
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYRB5868Medicare PIN