Callister, Tracy Q.
Callister, Tracy Q. is an individual health care provider with primary practice located at 353 New Shackle Island Rd #300C, Hendersonville TN 37075-2379. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Callister, Tracy Q. can be contacted via phone (615) 338-3337.Contact Information
Primary practice address
353 New Shackle Island Rd #300C
Hendersonville TN 37075-2379
Phone: (615) 338-3337
Fax: (615) 338-3329
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 15550 | Tennessee |
Profile Details
NPI number | 1679689285 |
---|---|
LBN Legal business name | Callister, Tracy Q. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 23rd, 2006 |
Last updated | Feb 11th, 2022 - 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 | 1679689285 | NPPES |
Tennessee | MEDICAID | 3007822 |
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