Brunvoll, Terri R

Brunvoll, Terri R is an sole proprietor health care provider with primary practice located at 1025 Executive Dr Suite 100, Hixson TN 37343-7916. She recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as her primary health care specialty. Brunvoll, Terri R can be contacted via phone (423) 870-2030.

Contact Information

Primary practice address
1025 Executive Dr Suite 100 Hixson TN 37343-7916
Phone: (423) 870-2030
Fax: (423) 875-6405
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 207Q00000X Tennessee

Profile Details

NPI number 1326170473
LBN Legal business name Brunvoll, Terri R
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 12th, 2007
Last updated Mar 22nd, 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 1326170473 NPPES
Tennessee MEDICAID 5064580
Tennessee Other 080157953
Tennessee Other DO0000001148

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