Lefton, William Jack

Lefton, William Jack is an individual health care provider with primary practice located at 6216 Airpark Dr Behavioral Health Associates, Chattanooga TN 37421-2988. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Lefton, William Jack can be contacted via phone (423) 899-0024.

Contact Information

Primary practice address
6216 Airpark Dr Behavioral Health Associates Chattanooga TN 37421-2988
Fax: (423) 899-5688
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X P899 Tennessee

Profile Details

NPI number 1417932625
LBN Legal business name Lefton, William Jack
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 9th, 2005
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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Identifiers

StateTypeNumberIssuer
All States NPI 1417932625 NPPES
Tennessee MEDICAID 3681399
Tennessee Other 3069838

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