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
Phone: (615) 758-4888
Fax: (615) 758-6188
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1598883134 | NPPES |
Tennessee | MEDICAID | 3126907 | |
Tennessee | Other | 4102606 |
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