Davis, Jeannette Austin

Davis, Jeannette Austin is an individual health care provider with primary practice located at 1480 E 3Rd St , Chattanooga TN 37404-2434. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Davis, Jeannette Austin can be contacted via phone (423) 622-2459.

Contact Information

Primary practice address
1480 E 3Rd St Chattanooga TN 37404-2434
Phone: (423) 622-2459
Fax: (423) 622-4879
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT2958 Tennessee

Profile Details

NPI number 1962458489
LBN Legal business name Davis, Jeannette Austin
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2006
Last updated Nov 22nd, 2011 - about 14 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 1962458489 NPPES
Tennessee Other 3156797 BCBST - GROUP NUMBER
Tennessee MEDICAID 0446652 BCBST - GROUP NUMBER
Tennessee MEDICAID 5441443 BCBST - GROUP NUMBER

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