Ault, Bettina
Ault, Bettina is an individual health care provider with primary practice located at 900 E 3Rd St , Chattanooga TN 37403-2101. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Nephrology, which is considered as her primary health care specialty. Ault, Bettina can be contacted via phone (423) 778-5437.Contact Information
Primary practice address
900 E 3Rd St
Chattanooga TN 37403-2101
Phone: (423) 778-5437
Fax: (423) 778-7507
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Nephrology | 2080P0210X | 18614 | Tennessee |
Profile Details
| NPI number | 1205892353 |
|---|---|
| LBN Legal business name | Ault, Bettina |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 25th, 2006 |
| Last updated | Nov 26th, 2019 - 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 | 1205892353 | NPPES |
| Tennessee | MEDICAID | 3815047 |
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