Gotcher, Jack E

Gotcher, Jack E is an sole proprietor health care provider with primary practice located at 1928 Alcoa Hwy Suite 305, Knoxville TN 37920-1502. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Gotcher, Jack E can be contacted via phone (865) 305-6625.

Contact Information

Primary practice address
1928 Alcoa Hwy Suite 305 Knoxville TN 37920-1502
Phone: (865) 305-6625
Fax: (865) 305-6628
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X DS0000003654 Tennessee

Profile Details

NPI number 1619967676
LBN Legal business name Gotcher, Jack E
Credentials D.M.D,PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 21st, 2005
Last updated Nov 4th, 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 1619967676 NPPES
Tennessee MEDICAID 3224964

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