Bearb, Michael Edwin

Bearb, Michael Edwin is an individual health care provider with primary practice located at 810 W Forest Ave , Jackson TN 38301-3942. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Bearb, Michael Edwin can be contacted via phone (731) 668-1853.

Contact Information

Primary practice address
810 W Forest Ave Jackson TN 38301-3942
Fax: (731) 664-7731
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 24779 Tennessee

Profile Details

NPI number 1720022130
LBN Legal business name Bearb, Michael Edwin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Jan 12th, 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 1720022130 NPPES
Tennessee MEDICAID 3078790

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