Aristorenas, Juan Tan

Aristorenas, Juan Tan is an sole proprietor health care provider with primary practice located at 135 West Main Street , Adamsville TN 38310-0311. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Aristorenas, Juan Tan can be contacted via phone (731) 632-3373.

Contact Information

Primary practice address
135 West Main Street Adamsville TN 38310-0311
Phone: (731) 632-3373
Fax: (731) 632-9335
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD00008527 Tennessee

Profile Details

NPI number 1992888226
LBN Legal business name Aristorenas, Juan Tan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 23rd, 2006
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 1992888226 NPPES
Tennessee MEDICAID 3158065

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