Frost, David
Frost, David is an sole proprietor health care provider with primary practice located at 9258 Wandering Way , Ooltewah TN 37363-6972. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Frost, David can be contacted via phone (423) 667-9859.Contact Information
Primary practice address
9258 Wandering Way
Ooltewah TN 37363-6972
Phone: (423) 667-9859
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | APN0000010855 | Tennessee |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | RN158635 CRNA | Georgia |
Profile Details
NPI number | 1558395061 |
---|---|
LBN Legal business name | Frost, David |
Credentials | Certified Registered Nurse Anesthetist (CRNA) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 10th, 2006 |
Last updated | Jul 13th, 2010 - about 15 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 | 1558395061 | NPPES |
Tennessee | MEDICAID | 3638240 | |
Tennessee | Other | 4142858 |
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