Georg, Jaimie

Georg, Jaimie is an individual health care provider with primary practice located at 3469 New Highway 68 , Madisonville TN 37354-5148. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutrition, Education, which is considered as her primary health care specialty. Georg, Jaimie can be contacted via phone (423) 442-5934.

Contact Information

Primary practice address
3469 New Highway 68 Madisonville TN 37354-5148
Fax:
Website:

Health care specialties

Profile Details

NPI number 1073004420
LBN Legal business name Georg, Jaimie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2018
Last updated May 22nd, 2018 - about 6 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 1073004420 NPPES
Tennessee MEDICAID 0000

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