Crockett, Callie

Crockett, Callie is an individual health care provider with primary practice located at Lamont Street And Veterans Way , Mountain Home TN 37684-2523. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Crockett, Callie can be contacted via phone (423) 926-1171.

Contact Information

Primary practice address
Lamont Street And Veterans Way Mountain Home TN 37684-2523
Phone: (423) 926-1171
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 19776 Tennessee

Profile Details

NPI number 1063806677
LBN Legal business name Crockett, Callie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2015
Last updated Aug 21st, 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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