Engblom, James Arthur

Engblom, James Arthur is an individual health care provider with primary practice located at 90 Vermont Ave Suite 300, Oak Ridge TN 37830-6474. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Engblom, James Arthur can be contacted via phone (865) 481-2541.

Contact Information

Primary practice address
90 Vermont Ave Suite 300 Oak Ridge TN 37830-6474
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X DPM338 Tennessee

Profile Details

NPI number 1053398107
LBN Legal business name Engblom, James Arthur
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2005
Last updated Jun 2nd, 2016 - about 8 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 1053398107 NPPES
Tennessee MEDICAID 3351783
Tennessee Other 480026064
Tennessee Other 6035392

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