Jones, Samuel Otterson
Jones, Samuel Otterson is an individual health care provider with primary practice located at 2501 Citico Ave , Chattanooga TN 37404-1127. He recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology, which is considered as his primary health care specialty. Jones, Samuel Otterson can be contacted via phone (423) 697-2000.Contact Information
Primary practice address
2501 Citico Ave
Chattanooga TN 37404-1127
Phone: (423) 697-2000
Fax: (423) 697-2118
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology | 207RC0001X | 21364 | Alabama |
| Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology | 207RC0001X | N0142 | Texas |
| Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology | 207RC0001X | 55695 | Tennessee |
Profile Details
| NPI number | 1578632550 |
|---|---|
| LBN Legal business name | Jones, Samuel Otterson |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 6th, 2006 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578632550 | NPPES |
| Texas | Other | 8CM507 | BCBS |
| Texas | MEDICAID | 202417603 | BCBS |
| Texas | Other | P00898254 | BCBS |
| Texas | Other | 55695 | BCBS |
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