Fyke, James
Fyke, James is an individual health care provider with primary practice located at 1411 W Baddour Pkwy , Lebanon TN 37087-2513. 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. Fyke, James can be contacted via phone (615) 256-1064.Contact Information
Primary practice address
1411 W Baddour Pkwy
Lebanon TN 37087-2513
Phone: (615) 256-1064
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 9075 | Tennessee |
Profile Details
NPI number | 1154380723 |
---|---|
LBN Legal business name | Fyke, James |
Credentials | Certified Registered Nurse Anesthetist (CRNA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 21st, 2006 |
Last updated | Jul 8th, 2007 - about 17 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 | 1154380723 | NPPES |
Tennessee | MEDICAID | 3620158 |
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