Barrett, Jerry Owen

Barrett, Jerry Owen is an sole proprietor health care provider with primary practice located at 26303 Savings Center Dr , Ardmore TN 38449-3273. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Barrett, Jerry Owen can be contacted via phone (931) 427-3565.

Contact Information

Primary practice address
26303 Savings Center Dr Ardmore TN 38449-3273
Phone: (931) 427-3565
Fax: (931) 427-8111
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X MD011762 Tennessee

Profile Details

NPI number 1407849037
LBN Legal business name Barrett, Jerry Owen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 30th, 2005
Last updated May 26th, 2011 - about 14 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 1407849037 NPPES
Tennessee MEDICAID 3170577
Tennessee MEDICAID 000810174
Tennessee Other 000055623

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