Cantrell, Brittany M
Cantrell, Brittany M is an individual health care provider with primary practice located at 1021 W Oakland Ave Suite 301, Johnson City TN 37604-2191. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Cantrell, Brittany M can be contacted via phone (423) 952-8000.Contact Information
Primary practice address
1021 W Oakland Ave Suite 301
Johnson City TN 37604-2191
Phone: (423) 952-8000
Fax: (423) 952-8001
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA00911 | Tennessee |
Profile Details
NPI number | 1497719322 |
---|---|
LBN Legal business name | Cantrell, Brittany M |
Credentials | Physician Assistant (PA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 17th, 2006 |
Last updated | Jul 8th, 2007 - about 18 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 | 1497719322 | NPPES |
Tennessee | Other | 4043132 | BCBS |
Tennessee | Other | TN01Q4 | BCBS |
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