Greer, Jack Ewell

Greer, Jack Ewell is an individual health care provider with primary practice located at 901 Riverfront Parkway Suite 300, Chattanooga TN 37402-2193. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Greer, Jack Ewell can be contacted via phone (423) 698-8981.

Contact Information

Primary practice address
901 Riverfront Parkway Suite 300 Chattanooga TN 37402-2193
Fax: (423) 697-7109
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 047438 Georgia
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X MD0000026020 Tennessee

Profile Details

NPI number 1609875467
LBN Legal business name Greer, Jack Ewell
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2005
Last updated Jun 11th, 2021 - about 3 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 1609875467 NPPES
Georgia MEDICAID 00815328A
Georgia Other 1040185
Georgia Other 3126040

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