Adam, Jerry M

Adam, Jerry M is an individual health care provider with primary practice located at 1027 E Main St , Morristown TN 37814-6632. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Adam, Jerry M can be contacted via phone (423) 581-5984.

Contact Information

Primary practice address
1027 E Main St Morristown TN 37814-6632
Phone: (423) 581-5984
Fax: (423) 581-0984
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN0000097158 Tennessee

Profile Details

NPI number 1932194396
LBN Legal business name Adam, Jerry M
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2005
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932194396 NPPES
Tennessee Other 4095611 BCBS
Tennessee MEDICAID 3625145 BCBS

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