Cade, Alisa A

Cade, Alisa A is an individual health care provider with primary practice located at 185 Treasure Lane , Johnson City TN 37604-6519. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Cade, Alisa A can be contacted via phone (423) 979-3200.

Contact Information

Primary practice address
185 Treasure Lane Johnson City TN 37604-6519
Fax: (423) 979-3267
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DS0006963 Tennessee

Profile Details

NPI number 1831265487
LBN Legal business name Cade, Alisa A
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 27th, 2006
Last updated Dec 3rd, 2013 - 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 1831265487 NPPES
Tennessee MEDICAID Q000925

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