Jackson, William Senter

Jackson, William Senter is an individual health care provider with primary practice located at 1114 Sunset Dr Suite 4, Johnson City TN 37604-2969. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Jackson, William Senter can be contacted via phone (423) 283-0776.

Contact Information

Primary practice address
1114 Sunset Dr Suite 4 Johnson City TN 37604-2969
Phone: (423) 283-0776
Fax: (423) 283-0549
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN0000053701 Tennessee

Profile Details

NPI number 1255323267
LBN Legal business name Jackson, William Senter
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2005
Last updated Nov 2nd, 2009 - about 17 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 1255323267 NPPES
Tennessee MEDICAID 3605529

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