Headrick, James Robert

Headrick, James Robert is an individual health care provider with primary practice located at 605 Glenwood Drive, Suite 105 Chi Memorial Thoracic Oncology Associates, Chattanooga TN 37404. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Headrick, James Robert can be contacted via phone (423) 495-5864.

Contact Information

Primary practice address
605 Glenwood Drive, Suite 105 Chi Memorial Thoracic Oncology Associates Chattanooga TN 37404
Phone: (423) 495-5864
Fax: (423) 495-2065
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 24097 Tennessee

Profile Details

NPI number 1104812817
LBN Legal business name Headrick, James Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2005
Last updated Jul 21st, 2022 - about 2 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 1104812817 NPPES
Tennessee MEDICAID 3073584

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