Endsley, John K
Endsley, John K is an individual health care provider with primary practice located at 311 Landrum Place Ste 100, Clarksville TN 37043. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Endsley, John K can be contacted via phone (931) 245-2090.Contact Information
Primary practice address
311 Landrum Place Ste 100
Clarksville TN 37043
Phone: (931) 245-2090
Fax: (931) 245-2091
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 23560 | Tennessee |
Profile Details
| NPI number | 1417938432 |
|---|---|
| LBN Legal business name | Endsley, John K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 8th, 2005 |
| Last updated | Nov 28th, 2012 - 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 | 1417938432 | NPPES |
| Tennessee | MEDICAID | 3892497 | |
| Tennessee | MEDICAID | 3892498 |
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