Carpenter, Douglas Ray

Carpenter, Douglas Ray is an individual health care provider with primary practice located at 100 Lantana Road Suite 202, Crossville TN 38555-1903. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Carpenter, Douglas Ray can be contacted via phone (931) 484-5141.

Contact Information

Primary practice address
100 Lantana Road Suite 202 Crossville TN 38555-1903
Phone: (931) 484-5141
Fax: (931) 484-5620
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD17544 Tennessee

Profile Details

NPI number 1093818635
LBN Legal business name Carpenter, Douglas Ray
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2006
Last updated Jun 7th, 2021 - about 4 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 1093818635 NPPES
Other 080059056 RAILROAD MEDICARE
MEDICAID 3084713 RAILROAD MEDICARE
Other 3072543 RAILROAD MEDICARE

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