Lyttle, Sharon Diane

Lyttle, Sharon Diane is an sole proprietor health care provider with primary practice located at 3580 N Mount Juliet Rd , Mount Juliet TN 37122-3061. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Lyttle, Sharon Diane can be contacted via phone (615) 758-4888.

Contact Information

Primary practice address
3580 N Mount Juliet Rd Mount Juliet TN 37122-3061
Fax: (615) 758-6188
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 1744000000X Tennessee

Profile Details

NPI number 1598883134
LBN Legal business name Lyttle, Sharon Diane
Credentials OTRL
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 26th, 2007
Last updated Jul 8th, 2007 - about 18 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 1598883134 NPPES
Tennessee MEDICAID 3126907
Tennessee Other 4102606

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