Distefano, Deborah R

Distefano, Deborah R is an individual health care provider with primary practice located at 1815 Gunbarrel Rd , Chattanooga TN 37421-3130. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Distefano, Deborah R can be contacted via phone (423) 648-3937.

Contact Information

Primary practice address
1815 Gunbarrel Rd Chattanooga TN 37421-3130
Phone: (423) 648-3937
Fax: (423) 648-2043
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 14067 Tennessee

Profile Details

NPI number 1932172558
LBN Legal business name Distefano, Deborah R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2006
Last updated Nov 28th, 2011 - about 13 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 1932172558 NPPES
Tennessee Other 0020153 BLUE CROSS BLUE SHIELD

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