Jessie, Michael Wayne

Jessie, Michael Wayne is an individual health care provider with primary practice located at 2222 State St Suite A, Nashville TN 37203-1845. He recently has only one registered license in Pharmacy Service Providers / Pharmacy Technician, which is considered as his primary health care specialty. Jessie, Michael Wayne can be contacted via phone (615) 371-1210.

Contact Information

Primary practice address
2222 State St Suite A Nashville TN 37203-1845
Fax: (615) 371-1270
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacy Technician 183700000X 0000019062 Tennessee

Profile Details

NPI number 1508062555
LBN Legal business name Jessie, Michael Wayne
Credentials CPHT
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2007
Last updated Jul 8th, 2007 - 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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