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:
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Health care specialties

SpecialtyCodeLicense #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 8 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 1164936878 NPPES
Tennessee Other 44D2125377 LICENSURE/LAB (CMS)

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