Haney-Weaver, Jerrie Caroline
Haney-Weaver, Jerrie Caroline is an individual health care provider with primary practice located at 501 19Th Street Suite 509, Knoxville TN 37916-1853. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics, which is considered as her primary health care specialty. Haney-Weaver, Jerrie Caroline can be contacted via phone (865) 524-3208.Contact Information
Primary practice address
501 19Th Street Suite 509
Knoxville TN 37916-1853
Phone: (865) 524-3208
Fax: (865) 522-4322
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics | 207VX0000X | MD40791 | Tennessee |
| Allopathic & Osteopathic Physicians / Obstetrics | 207VX0000X | 40791 | Tennessee |
Profile Details
| NPI number | 1528086097 |
|---|---|
| LBN Legal business name | Haney-Weaver, Jerrie Caroline |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 17th, 2006 |
| Last updated | Nov 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528086097 | NPPES |
| Other | 4131926 | BLUE CROSS BLUE SHIELD | |
| Other | 1154546927 | BLUE CROSS BLUE SHIELD | |
| MEDICAID | 3832868 | BLUE CROSS BLUE SHIELD |
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