Jamison, Dale H

Jamison, Dale H is an sole proprietor health care provider with primary practice located at 713 Roantree Dr , Brentwood TN 37027. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Jamison, Dale H can be contacted via phone (615) 969-8141.

Contact Information

Primary practice address
713 Roantree Dr Brentwood TN 37027
Phone: (615) 969-8141
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 017205 Tennessee
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 17205 Tennessee

Profile Details

NPI number 1083611651
LBN Legal business name Jamison, Dale H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 28th, 2005
Last updated Jun 1st, 2023 - 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 1083611651 NPPES
Tennessee Other 3031591 BCBS PROVIDER NUMBER
Tennessee MEDICAID 3021509 BCBS PROVIDER NUMBER
Tennessee MEDICAID 009992585 BCBS PROVIDER NUMBER
Tennessee MEDICAID 64911720 BCBS PROVIDER NUMBER

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