Crist, Jeffrey R

Crist, Jeffrey R is an individual health care provider with primary practice located at 9330 Park West Blvd Ste 506, Knoxville TN 37923. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Crist, Jeffrey R can be contacted via phone (865) 539-5372.

Contact Information

Primary practice address
9330 Park West Blvd Ste 506 Knoxville TN 37923
Phone: (865) 539-5372
Fax: (865) 539-5369
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD000021220 Tennessee

Profile Details

NPI number 1255318762
LBN Legal business name Crist, Jeffrey R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2005
Last updated Jun 5th, 2018 - about 7 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 1255318762 NPPES
Tennessee MEDICAID Q022510
Tennessee MEDICAID 3057737

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