Balentine, Charles Ellis
Balentine, Charles Ellis is an individual health care provider with primary practice located at 315 Deaderick St Ste 1550 , Nashville TN 37238-3003. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Laboratory Management, which is considered as his primary health care specialty. Balentine, Charles Ellis can be contacted via phone (615) 521-4380.Contact Information
Primary practice address
315 Deaderick St Ste 1550
Nashville TN 37238-3003
Phone: (615) 521-4380
Fax: (615) 521-4380
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Technologists, Technicians & Other Technical Service Providers / Laboratory Management | 246QL0900X | 44D2125377 | Tennessee |
Profile Details
NPI number | 1164936878 |
---|---|
LBN Legal business name | Balentine, Charles Ellis |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 17th, 2017 |
Last updated | Nov 17th, 2017 - about 7 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 | 1164936878 | NPPES |
Tennessee | Other | 44D2125377 | LICENSURE/LAB (CMS) |
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