Carpenter, Joe Bob

Carpenter, Joe Bob is an individual health care provider with primary practice located at 988 Oak Ridge Tpke Ste 100A , Oak Ridge TN 37830-6919. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Carpenter, Joe Bob can be contacted via phone (865) 425-4388.

Contact Information

Primary practice address
988 Oak Ridge Tpke Ste 100A Oak Ridge TN 37830-6919
Phone: (865) 425-4388
Fax: (865) 425-8677
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 11260 Tennessee

Profile Details

NPI number 1831627157
LBN Legal business name Carpenter, Joe Bob
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2017
Last updated Oct 12th, 2023 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831627157 NPPES
Tennessee MEDICAID Q028892

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