Coonrod, Demetrus

Coonrod, Demetrus is an individual health care provider with primary practice located at 1089 Bailey Ave Ste C3 , Chattanooga TN 37404-2802. She recently has only one registered license in Other Service Providers / Driver, which is considered as her primary health care specialty. Coonrod, Demetrus can be contacted via phone (423) 314-9897.

Contact Information

Primary practice address
1089 Bailey Ave Ste C3 Chattanooga TN 37404-2802
Phone: (423) 314-9897
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Driver 172A00000X 76895155 Tennessee
Other Service Providers / Driver 172A00000X 82108564 Tennessee

Profile Details

NPI number 1699465344
LBN Legal business name Coonrod, Demetrus
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2023
Last updated May 8th, 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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