Hare, Joshua Lidelle

Hare, Joshua Lidelle is an individual health care provider with primary practice located at 6141 Shallowford Rd Ste 100 , Chattanooga TN 37421-1663. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Hare, Joshua Lidelle can be contacted via phone (423) 498-2000.

Contact Information

Primary practice address
6141 Shallowford Rd Ste 100 Chattanooga TN 37421-1663
Phone: (423) 498-2000
Fax: (423) 498-2001
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 071791 Georgia
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X 2663 Tennessee
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X 071791 Georgia

Profile Details

NPI number 1811121924
LBN Legal business name Hare, Joshua Lidelle
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2009
Last updated Jul 20th, 2023 - about last year

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 1811121924 NPPES
Georgia Other 988220 WELLCARE
Georgia Other P01363024 WELLCARE
Georgia MEDICAID Q02347 WELLCARE
Georgia MEDICAID 003147609A WELLCARE
Georgia Other 02045387 WELLCARE

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