Friday, Jack Michael

Friday, Jack Michael is an individual health care provider with primary practice located at 3024 Business Park Cir , Goodlettsville TN 37072-3132. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Friday, Jack Michael can be contacted via phone (615) 851-6033.

Contact Information

Primary practice address
3024 Business Park Cir Goodlettsville TN 37072-3132
Phone: (615) 851-6033
Fax: (615) 851-2018
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD25800 Tennessee
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 25800 Tennessee

Profile Details

NPI number 1700825940
LBN Legal business name Friday, Jack Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2006
Last updated Nov 30th, 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 1700825940 NPPES
Tennessee Other 3031174 BCBS
Tennessee Other 4291356 BCBS
Tennessee Other 1509266 BCBS
Tennessee Other 300108653 BCBS
Tennessee MEDICAID 3083732 BCBS
Tennessee Other 3136571 BCBS
Tennessee Other 4200799 BCBS
Tennessee Other 64924590 BCBS
Tennessee MEDICAID 6492459000 BCBS
Tennessee MEDICAID 1509266 BCBS

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