Bremer, Joel L

Bremer, Joel L is an individual health care provider with primary practice located at 409 Dodds Ave , Chattanooga TN 37404-3908. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Bremer, Joel L can be contacted via phone (423) 624-4024.

Contact Information

Primary practice address
409 Dodds Ave Chattanooga TN 37404-3908
Phone: (423) 624-4024
Fax: (423) 624-7048
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 13968 Tennessee
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 023570 Georgia

Profile Details

NPI number 1962490664
LBN Legal business name Bremer, Joel L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 7th, 2005
Last updated Dec 10th, 2012 - about 12 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 1962490664 NPPES
Tennessee MEDICAID 3190827
Tennessee MEDICAID 00342273A

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