Cain, John Wallace
Cain, John Wallace is an sole proprietor health care provider with primary practice located at 930 Professional Park Dr , Clarksville TN 37040-5136. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Cain, John Wallace can be contacted via phone (615) 673-6737.Contact Information
Primary practice address
930 Professional Park Dr
Clarksville TN 37040-5136
Phone: (615) 673-6737
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | MD 016624 | Tennessee |
Profile Details
| NPI number | 1619042470 |
|---|---|
| LBN Legal business name | Cain, John Wallace |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 21st, 2006 |
| Last updated | May 1st, 2018 - about 6 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 | 1619042470 | NPPES |
| Tennessee | Other | 04720840061 | ME # |
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