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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932172558 | NPPES |
| Tennessee | Other | 0020153 | BLUE CROSS BLUE SHIELD |
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