Dattilo, Jeffery Bartholomeau

Dattilo, Jeffery Bartholomeau is an individual health care provider with primary practice located at 4230 Harding Pike Ste 705 , Nashville TN 37205-2013. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Dattilo, Jeffery Bartholomeau can be contacted via phone (615) 385-1547.

Contact Information

Primary practice address
4230 Harding Pike Ste 705 Nashville TN 37205-2013
Phone: (615) 385-1547
Fax: (615) 297-9161
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 205177 Massachusetts
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 36524 Tennessee

Profile Details

NPI number 1326022039
LBN Legal business name Dattilo, Jeffery Bartholomeau
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2005
Last updated Mar 6th, 2024 - 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 1326022039 NPPES
Tennessee MEDICAID Q007288

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