Knowles-Bagwell, Tommy D.

Knowles-Bagwell, Tommy D. is an sole proprietor health care provider with primary practice located at 1024 Noelton Ave , Nashville TN 37204-3232. He recently has only one registered license in Behavioral Health & Social Service Providers / Pastoral, which is considered as his primary health care specialty. Knowles-Bagwell, Tommy D. can be contacted via phone (615) 972-7652.

Contact Information

Primary practice address
1024 Noelton Ave Nashville TN 37204-3232
Phone: (615) 972-7652
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Pastoral 101YP1600X CPT 07 Tennessee

Profile Details

NPI number 1245398650
LBN Legal business name Knowles-Bagwell, Tommy D.
Credentials D.MIN.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 5th, 2006
Last updated Sep 9th, 2009 - about 15 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 1245398650 NPPES
Tennessee Other 4110514 BLUE CROSS ANDBLUE SHIELD

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