Hassebrock, Deborah J

Hassebrock, Deborah J is an individual health care provider with primary practice located at 1901 S Shady Street , Mountain City TN 37683-2021. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Hassebrock, Deborah J can be contacted via phone (423) 727-1150.

Contact Information

Primary practice address
1901 S Shady Street Mountain City TN 37683-2021
Phone: (423) 727-1150
Fax: (423) 727-1152
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APN0000016767 Tennessee

Profile Details

NPI number 1578819439
LBN Legal business name Hassebrock, Deborah J
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 30th, 2012
Last updated Jun 24th, 2016 - about 8 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 1578819439 NPPES
Tennessee MEDICAID 1529530
Tennessee Other 16767
Tennessee Other 1206755

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