Kerley, Jonathan M
Kerley, Jonathan M is an sole proprietor health care provider with primary practice located at 2372 Lifestyle Way Ste 152 , Chattanooga TN 37421-4940. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Kerley, Jonathan M can be contacted via phone (423) 894-0432.Contact Information
Primary practice address
2372 Lifestyle Way Ste 152
Chattanooga TN 37421-4940
Phone: (423) 894-0432
Fax: (423) 894-0475
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 2007029189 | Missouri |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 1427 | Tennessee |
Profile Details
| NPI number | 1568442689 |
|---|---|
| LBN Legal business name | Kerley, Jonathan M |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 17th, 2006 |
| Last updated | Sep 27th, 2020 - about 4 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 | 1568442689 | NPPES |
| Tennessee | Other | 3307028 | MEDICARE PTAN |
| Tennessee | Other | 3370172 | MEDICARE PTAN |
| Tennessee | Other | 3307024 | MEDICARE PTAN |
| Tennessee | Other | 3726561 | MEDICARE PTAN |
| Tennessee | MEDICAID | 3307024 | MEDICARE PTAN |
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