Della Vecchia, Jason J

Della Vecchia, Jason J is an individual health care provider with primary practice located at 1700 Pinebrook Dr Ste 4 , Kingsport TN 37660-4365. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Della Vecchia, Jason J can be contacted via phone (423) 483-7701.

Contact Information

Primary practice address
1700 Pinebrook Dr Ste 4 Kingsport TN 37660-4365
Phone: (423) 483-7701
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 200400663 North Carolina
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 31318 South Carolina
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 47972 Tennessee

Profile Details

NPI number 1770554982
LBN Legal business name Della Vecchia, Jason J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2006
Last updated Oct 11th, 2023 - about 2 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 1770554982 NPPES
Tennessee MEDICAID 1527494
Tennessee MEDICAID 7100194900
Tennessee MEDICAID 891362H
Tennessee MEDICAID 1770554982
Tennessee Other 1362H
Tennessee Other P00213994

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