Bembry, Earl Dan
Bembry, Earl Dan is an sole proprietor health care provider with primary practice located at 4940 Highway 33 S , New Tazewell TN 37825-2631. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Bembry, Earl Dan can be contacted via phone (423) 526-0009.Contact Information
Primary practice address
4940 Highway 33 S
New Tazewell TN 37825-2631
Phone: (423) 526-0009
Fax: (423) 526-2047
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | APN0000011921 | Tennessee |
Profile Details
| NPI number | 1952407124 |
|---|---|
| LBN Legal business name | Bembry, Earl Dan |
| Credentials | PHD, FNP-BC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 15th, 2006 |
| Last updated | Mar 7th, 2023 - about 2 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 | 1952407124 | NPPES |
| Tennessee | MEDICAID | 3348015 | |
| Tennessee | Other | APN11921 |
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