Fuqua, Jeffrey

Fuqua, Jeffrey is an individual health care provider with primary practice located at 501 20Th St Suite 606, Knoxville TN 37916-1809. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Fuqua, Jeffrey can be contacted via phone (865) 546-8040.

Contact Information

Primary practice address
501 20Th St Suite 606 Knoxville TN 37916-1809
Phone: (865) 546-8040
Fax: (865) 541-2787
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 21684 Tennessee

Profile Details

NPI number 1629046396
LBN Legal business name Fuqua, Jeffrey
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2006
Last updated Jun 16th, 2010 - about 14 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 1629046396 NPPES
Tennessee Other 4020664 BLUE CROSS
Tennessee Other 050083455 BLUE CROSS
Tennessee MEDICAID 3863961 BLUE CROSS
Tennessee Other 4020664 BLUE CROSS
Tennessee Other 100034882 BLUE CROSS

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