Ainsworth, Chaz M
Ainsworth, Chaz M is an sole proprietor health care provider with primary practice located at 613 Watauga St , Kingsport TN 37660-4429. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Ainsworth, Chaz M can be contacted via phone (423) 247-7741.Contact Information
Primary practice address
613 Watauga St
Kingsport TN 37660-4429
Phone: (423) 247-7741
Fax: (423) 630-0105
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 11386 | Tennessee |
Profile Details
| NPI number | 1902414493 |
|---|---|
| LBN Legal business name | Ainsworth, Chaz M |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 21st, 2020 |
| Last updated | Jul 21st, 2020 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902414493 | NPPES |
| Mississippi | Other | 800833684 | DRIVERS LICENSE |
Popular Providers
-
Streeter, Richard Lloyd
1105 W Stone Dr , Kingsport TN 37660-2558 -
Wing, Eric Bradley
613 Watauga St Suite E, Kingsport TN 37660-4429 -
Martin, Timothy Ross
1599 Fort Henry Drive , Kingsport TN 37664 -
Montgomery, Randall Cline
2975 Fort Henry Dr , Kingsport TN 37664-4005 -
Martin, Kevin Worth
1599 Fort Henry Drive , Kingsport TN 37664 -
Tanner, John Everett
2701 Bloomingdale Rd , Kingsport TN 37660-1854 -
Bateman, Richard E
1567 N Eastman Rd Suite 16, Kingsport TN 37664-2683 -
Crowe, Jerry Marvin
1109 N Eastman Rd , Kingsport TN 37664-3156