Carraher, John B

Carraher, John B is an individual health care provider with primary practice located at 28 Medical Center Dr , Jackson TN 38301-3947. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Carraher, John B can be contacted via phone (731) 427-9971.

Contact Information

Primary practice address
28 Medical Center Dr Jackson TN 38301-3947
Phone: (731) 427-9971
Fax: (731) 424-2052
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X MD0000026150 Tennessee

Profile Details

NPI number 1689657967
LBN Legal business name Carraher, John B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2005
Last updated Jul 12th, 2023 - about last year

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 1689657967 NPPES
Tennessee MEDICAID 3837314
Tennessee Other 4061705
Tennessee Other 8706792
Tennessee Other 07080032

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